OrganizationActive
Elevate Your Existence, LLC
NPI 1164935474 · Optometrist · Tampa, FL
Provider details
- NPI number
- 1164935474
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Bradley Austin, Owner(954) 696-3288
- License
- 4928 (FL)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
8150 Citrus Park Town Center Mall Spc 1100
Tampa, FL 33625-3181
Phone: (813) 920-6824
Fax: (813) 920-6619
Approximate (ZIP-level) locationGet directions
Mailing address
3056 Satilla Loop
Odessa, FL 33556-2739
Additional practice locations (2)
- 9644 Scenic DrPort Richey, FL 34668-4653Phone: (727) 845-0082Fax: (727) 877-2251
- 28150 Willet WayWesley Chapel, FL 33543-5482Phone: (813) 907-3126Fax: (813) 482-0027
Registry dates
- Enumerated
- 2017-11-08
- Last updated
- 2021-05-30
- Certified
- 2021-05-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.