1700692902 NPI number — BEYOND 2020 VISION SPECIALISTS PORT RICHEY

Table of content: ARTURO RAMOS YABUT M.D. (NPI 1760575476)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700692902 NPI number — BEYOND 2020 VISION SPECIALISTS PORT RICHEY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEYOND 2020 VISION SPECIALISTS PORT RICHEY
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700692902
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
16230 STATE ROAD 54
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ODESSA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
33556-3729
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-926-5993
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9644 SCENIC DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PORT RICHEY
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34668-4653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
727-845-0082
Provider Business Practice Location Address Fax Number:
727-847-3463
Provider Enumeration Date:
12/04/2024

Additional Information

Authorized Official

Authorized Official Last Name:
TUMOLO
Authorized Official First Name:
CHRISTOPHER
Authorized Official Middle Name:
Authorized Official Title or Position:
OD
Authorized Official Telephone Number:
813-926-5993

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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