NPIMap

Organization Active NPI

TB Eye Care PA

Doing business as InnoVision

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1902956030
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TB EYE CARE PA
Doing business as
InnoVision
Practice address
36021 US Highway 19 N
Palm Harbor, FL 34684-1531
Phone
(727) 772-1000
Fax
(727) 771-0770
NPI assigned
Jan 11, 2007
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thedore N Gillette, O.D.
Title
President
Phone
(727) 489-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

36021 US Highway 19 N
Palm Harbor, FL 34684-1531

Mailing address

11650 131St St
Largo, FL 33774-4740
Phone (727) 489-0500

Other names 1

  • InnoVision Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Innovision5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

11650 131st St
Largo, FL 33774
Phone (727) 489-0500

33649 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 772-1000

36021 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 772-1000

1700 66th St N
Bldg B
St Petersburg, FL 33710
Phone (727) 381-3937

3202 W Kennedy Blvd
Ste 1
Tampa, FL 33609
Phone (813) 872-6063

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1902956030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 131ST ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337744740",
            "telephone_number": "727-489-0500",
            "fax_number": "727-489-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36021 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841531",
            "telephone_number": "727-772-1000",
            "fax_number": "727-771-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TB EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "GILLETTE",
        "authorized_official_first_name": "THEDORE",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-489-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "InnoVision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.