Provider Demographics
NPI:1235383142
Name:GREATER VISION FAMILY EYE CARE INC
Entity Type:Organization
Organization Name:GREATER VISION FAMILY EYE CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:A
Authorized Official - Last Name:OCASIO
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:813-558-9043
Mailing Address - Street 1:627 SUNSET LN
Mailing Address - Street 2:
Mailing Address - City:LUTZ
Mailing Address - State:FL
Mailing Address - Zip Code:33549-3880
Mailing Address - Country:US
Mailing Address - Phone:813-385-6366
Mailing Address - Fax:
Practice Address - Street 1:2701 E FLETCHER AVE
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9414
Practice Address - Country:US
Practice Address - Phone:813-558-9043
Practice Address - Fax:813-558-9034
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-11-06
Last Update Date:2008-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4088152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty