- Medicare Optometrist in Tampa, FL

is a medicare enrolled "Optometrist - Vision Therapy" provider in Tampa, Florida. Their current practice location is 10108 Montague St, Tampa, Florida. You can reach out to their office (for appointments etc.) via phone at (813) 792-0637.

is licensed to practice in Florida (license number OPC 4098) and it also participates in the medicare program. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1720102585.

Contact Information

10108 Montague St,
Tampa, FL 33626-1856
(813) 792-0637
(813) 792-0657

Map and Direction




Healthcare Provider's Profile

Full Name
TypeFacility
SpecialityOptometrist - Vision Therapy
Location10108 Montague St, Tampa, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1720102585
  • Provider Enumeration Date: 03/19/2007
  • Last Update Date: 05/02/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 5597764530
  • Enrollment ID: O20061220000355

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720102585NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152WV0400XOptometrist - Vision Therapy OPC 4098 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. acts as a billing entity for following providers:
Provider NameNathan J Bonillawarford
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750341186
PECOS PAC ID: 4789650300
Enrollment ID: I20060104000757
Provider NameChristine R Sylvester
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427135995
PECOS PAC ID: 5193983518
Enrollment ID: I20120214000806
Provider NameKelly Chambers
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1639403058
PECOS PAC ID: 0648311498
Enrollment ID: I20210806001206
Provider NameAnnie H Ku
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134817158
PECOS PAC ID: 2860855103
Enrollment ID: I20230904000213

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

10108 Montague St,
Tampa, FL 33626-1856

Ph: (813) 792-0637

10108 Montague St,
Tampa, FL 33626-1856

Ph: (813) 792-0637

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.