| NPI | 1215969357 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2006-07-07 |
| Last Updated | 2019-04-25 |
| Authorized Official | Michelle Fleshner Administrator Phone: 8136842211 |
| Mailing Address | 540 Medical Oaks Ave, Suite 103 Brandon, FL 33511-5995 United States Phone: (813) 684-2211 | Fax: (813) 655-7669 📍 View Map |
| Primary Practice Address | 540 Medical Oaks Ave, Suite 103 Brandon, FL 33511-5995 United States Phone: (813) 684-2211 | Fax: (813) 655-7669 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | FL | 256356800 | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 152W00000X – Optometrist | - | - |
| Yes | 207W00000X – Ophthalmology | - | - |
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About NPI 1215969357
Brandon Eye Associates Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1215969357. The primary specialty listed is Ophthalmology. The organization is located in Brandon, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1215969357?
NPI 1215969357 belongs to Brandon Eye Associates Pa, a Ophthalmology in Brandon, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1215969357 active?
The current status of NPI 1215969357 in the NPPES registry is Active. The record was last updated on 2019-04-25.
What specialty is NPI 1215969357?
NPI 1215969357 is classified under the taxonomy Ophthalmology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1215969357?
You can verify NPI 1215969357 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1215969357?
The primary practice address on file for NPI 1215969357 is 540 Medical Oaks Ave, Brandon, FL 33511-5995. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1215969357 issued?
NPI 1215969357 was first issued (enumerated) on 2006-07-07. The NPPES record was last updated on 2019-04-25.
Practice Location Map
Brandon Eye Associates Pa is located at 540 Medical Oaks Ave, Brandon, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Brandon Eye Associates Pa. All records sourced from the CMS NPPES registry.