ST. JUDE MEDICAL & AESTHETIC CARE CENTER, LLC
ST. JUDE MEDICAL & AESTHETIC CARE CENTER, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1518260090, based in Brandon, FL. The organization lists 7 taxonomy classifications, with Ophthalmology Physician recorded as primary.
Getting there
The practice address on file is 131 N MOON AVE SUITES 3 & 4, Brandon, FL 33510. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ME107980 | FL | Personal Emergency Response Attendant |
| ME107980 | FL | Addiction Medicine (Family Medicine)… |
| ME107980 | FL | General Practice Physician |
| ME107980 | FL | Clinical Pharmacology Physician |
| ME107980 | FL | Ophthalmology Physician primary |
This provider holds licence ME107980 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 4183972565
- Enrollment ID
- O20180801000669
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Ophthalmology covers
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. NUCC Health Care Provider Taxonomy, code 207W00000X
All registered taxonomy codes
This provider registers 7 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 2083P0901X | Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine | — | — | |
| 132700000X | Dietary Manager | — | — | |
| 146D00000X | Personal Emergency Response Attendant | ME107980 | FL | |
| 207QA0401X | Addiction Medicine (Family Medicine) Physician Addiction Medicine | ME107980 | FL | |
| 208D00000X | General Practice Physician | ME107980 | FL | |
| 208U00000X | Clinical Pharmacology Physician | ME107980 | FL | |
| 207W00000X | Ophthalmology Physician | ME107980 | FL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1518260090 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Dec 6, 2010 |
| Last updated | Oct 8, 2013 |
| Status | Active |
| Practice address |
131 N MOON AVE SUITES 3 & 4 Brandon, FL 33510 (813) 315-9898 Fax (813) 438-5967 |
| Mailing address |
4810 PORTOBELLO CIR Valrico, FL 33596 |
| Other names |
St. Jude Medical Center & Aesthetic Care Former Legal Name |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 5 | 1 | 8 | 2 | 6 | 0 | 0 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 5 | 2 | 8 | 4 | 6 | 0 | 0 | 9 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.