South Tampa Eye Site
LBN: Kevin Smith Od And Associates Inc
South Tampa Eye Site is an health care organization with primary practice located at 4117 Henderson Blvd , Tampa FL 33629-5749. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Suppliers / Eyewear Supplier (Equipment, not the service). Eye and Vision Services Providers / Corneal and Contact Management is the primary health care specialty.
Kevin Smith Od And Associates Inc can be contacted via phone (813) 207-8984, or through Smith, Kevin L via phone (813) 312-1174.
Contact Information
Primary practice address
4117 Henderson Blvd
Tampa FL 33629-5749
Phone: (813) 207-8984
Fax: (813) 207-8954
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | OPC3456 | Florida |
| Suppliers / Eyewear Supplier (Equipment, not the service) | 332H00000X | OPC 3456 | Florida |
Profile Details
| NPI number | 1487844536 |
|---|---|
| LBN Legal business name | Kevin Smith Od And Associates Inc |
| DBA Doing business as | South Tampa Eye Site |
| Authorized official | Smith, Kevin L Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 25th, 2007 |
| Last updated | Nov 4th, 2008 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487844536 | NPPES |
| Florida | Other | 11221087 | CAQH |
| Florida | MEDICAID | 620814201 | CAQH |
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