Healthcare Provider Details

I. General information

NPI: 1003300625
Provider Name (Legal Business Name): NAGEENA KALIA OD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: NAGEENA PARASHER

II. Dates (important events)

Enumeration Date: 06/18/2018
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8150 CITRUS PARK TOWN CENTER MALL SPC 1100
TAMPA FL
33625-3181
US

IV. Provider business mailing address

18646 AVENUE CAPRI
LUTZ FL
33558-5345
US

V. Phone/Fax

Practice location:
  • Phone: 813-920-6824
  • Fax:
Mailing address:
  • Phone: 813-786-7308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOPC5488
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: