Healthcare Provider Details

I. General information

NPI: 1225971237
Provider Name (Legal Business Name): BEYOND 2020 VISION SPECIALISTS BRADENTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/13/2026
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4555 14TH ST W
BRADENTON FL
34207-1429
US

IV. Provider business mailing address

16230 STATE ROAD 54
ODESSA FL
33556-3729
US

V. Phone/Fax

Practice location:
  • Phone: 941-755-0143
  • Fax:
Mailing address:
  • Phone: 813-926-5993
  • Fax: 813-926-5993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER TUMOLO
Title or Position: DOCTOR
Credential: OD
Phone: 813-926-5993