BEYOND 2020 VISION SPECIALISTS PORT RICHEY — NPI 1700692902 (Licensed & Credentialed Eye and Vision Service Providers

CMS-1500 Box 24J / 33a • NPI

1700692902

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

152W00000X (CMS 41)

Licensed & Credentialed Eye and Vision Service Providers — Optometrist

Box 32 Service Location & ZIP+4

9644 SCENIC DR, PORT RICHEY, FL, 34668-4653

✓ 9-Digit EDI 837 ZIP+4 (34668-4653)

Practice Phone & Referral Fax

(727) 845-0082

Fax: (727) 847-3463

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1700692902 (BEYOND 2020 VISION SPECIALISTS PORT RICHEY) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1700692902` (NPI-2 Organization / Facility)
Provider / Legal Name	BEYOND 2020 VISION SPECIALISTS PORT RICHEY
Plain-English Specialty	Licensed & Credentialed Eye and Vision Service Providers — Optometrist NUCC Code: `152W00000X` (Optometrist)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	9644 SCENIC DR, PORT RICHEY, FL, 34668-4653
Practice Telephone / Fax	Tel: (727) 845-0082 \| Fax: (727) 847-3463
Administrative Mailing Address	16230 STATE ROAD 54, ODESSA, FL, 33556-3729
Enumeration & Last Sync	Enumerated: 2024-12-04 \| CMS Record Updated: 2024-12-04
Authorized Official	CHRISTOPHER TUMOLO (OD)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9644 SCENIC DR, PORT RICHEY, FL, 34668-4653

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Plain-English Taxonomy & CMS Crosswalk (152W00000X)

What Does Taxonomy Code 152W00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 152W00000X translates to:
"Licensed & Credentialed Eye and Vision Service Providers — Optometrist"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 41 (Optometry)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Optometrist for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (BEYOND 2020 VISION SPECIALISTS PORT RICHEY)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`152W00000X` — Optometrist Plain English: Licensed & Credentialed Eye and Vision Service Providers — Optometrist	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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BEYOND 2020 VISION SPECIALISTS PORT RICHEY (NPI #1700692902)