TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC – Ophthalmology Physician, NPI 1073189692

TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC is a healthcare provider. based in Lutz, Florida. specializing in Ophthalmology Physician. The NPI Number for TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC is 1073189692

Main info

Organization
Name
TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC
NPI
1073189692
Phone
(813) 550-2020
Address
17734 HUNTING BOW CIR STE 102
Authorized Official
SARA CREEKMORE PRESIDENT DO
Enumeration Date
3 June 2021
Last Update Date
3 June 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience25
Completeness75
Years active:5State licenses:0Digital endpointsOther names

Provider Addresses for TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC

  • 17734 HUNTING BOW CIR STE 102

    LUTZ, FL 335585383

    Phone: (813) 550-2020

    Fax: (813) 682-2525

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-31

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20210831000877OClinic/Group PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33558)

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Reviews

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Frequently asked questions

What is the registry number for TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC?
The registry entry for TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC shows NPI 1073189692.
Does the public listing show TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC as active?
TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC's NPI record reflects an active status in NPPES.
What services align with TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC's listing?
TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC's public classification highlights Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Is TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC tied to Lutz, Florida?
If you are local to Lutz, Florida, TAMPA BAY EYE AND FACIAL AESTHETICS, PLLC may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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