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SOUTHEAST EYE INSTITUTE PA NPI 1073625331


NPI Information

NPI: 1073625331
Provider Name: SOUTHEAST EYE INSTITUTE, PA

Doing Business As: EYE ASSOCIATES OF PINELLAS

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 10D2128554

Address:
9375 66TH ST
PINELLAS PARK, FL
ZIP 33782
Phone: (727) 541-4469
Get Directions

SOUTHEAST EYE INSTITUTE, PA is an optometrist in Pinellas Park, FL. The provider is doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. SOUTHEAST EYE INSTITUTE, PA NPI is 1073625331. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eye Associates Of Pinellas.

The provider's business location address is:

9375 66TH ST
PINELLAS PARK, FL
ZIP 33782-418
Phone: (727) 541-4469
Fax: (727) 546-9661

The provider's authorized official is John Baptist Wachter .
The authorized official title is Pressident / Owner and has the following contact phone number (727) 541-4469.

The CLIA number assigned to this NPI record is 10D2128554 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 9/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometristOPC2459FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1273965800MEDICAIDFLORIDA
272138MEDICARE PINFLORIDA
31285100001MEDICARE NSCFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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