# UNIVERSITY MEDICAL SERVICE ASSOCIATION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** USF Dept of Opthalmology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316987266
- **Authorized official:** RICHARD J SOBIERAY (CFO USF HEALTH)
- **Authorized official phone:** (813) 821-8038

## Contact information

- **Practice address:** 13330 USF LAUREL DR, TAMPA, FL 33612
- **Practice address phone:** (813) 974-2201
- **Mailing address:** PO BOX 917770, ORLANDO, FL 32891-0001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | — |

## Other

- **Enumeration date:** 06/08/2006
- **Last updated:** 02/17/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00537 | BLUE CROSS BLUE SHIELD | FL |