Mobile Vision Source

LBN: Mac Unlimited Llc
Mobile Vision Source is an health care organization with primary practice located at 178 E Davis Blvd , Tampa FL 33606-3514. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Skilled Nursing Facility, Nursing & Custodial Care Facilities / Hospice, Inpatient. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Mac Unlimited Llc can be contacted via phone (813) 300-7839, or through Cusumano, Michael Anthony via phone (813) 300-7839.

Contact Information

Primary practice address
178 E Davis Blvd Tampa FL 33606-3514
Phone: (813) 300-7839
Fax: (813) 425-9342
Website:
Map and Directions
Authorized official contact:
Name: Cusumano, Michael Anthony Doctor of Optometry (OD)
Phone: (813) 300-7839

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X OPC2471 Florida
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X OPC2471 Florida
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X OPC2471 Florida
Nursing & Custodial Care Facilities / Hospice, Inpatient 315D00000X OPC2471 Florida

Profile Details

NPI number 1578776035
LBN Legal business name Mac Unlimited Llc
DBA Doing business as Mobile Vision Source
Authorized official Cusumano, Michael Anthony Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date May 8th, 2007
Last updated Nov 16th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578776035 NPPES
Florida Other AC608 PROVIDER TRASACTION ACCES

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