SOUTHEAST EYE INSTITUTE PA NPI 1104585579

NPI Information

  • NPI: 1104585579
  • Provider Name: SOUTHEAST EYE INSTITUTE, PA
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • :
  • Address: 4359 35TH ST N
    ST PETERSBURG, FL
    ZIP 33714
  • Phone: (727) 525-3959

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NPI Details

SOUTHEAST EYE INSTITUTE, PA is an ophthalmology in St Petersburg, FL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. SOUTHEAST EYE INSTITUTE, PA NPI is 1104585579. The provider is registered as an organization entity type and is a single specialty group.
The provider .

The provider's business location address is:

4359 35TH ST N
ST PETERSBURG, FL
ZIP 33714-717
Phone: (727) 525-3959
Fax: (727) 914-8610

The provider's authorized official is Nathan Emery .
The authorized official title is Owner/director and has the following contact phone number (727) 541-4469.

The enumeration date for this NPI number is 12/14/2021 and was last updated on 12/10/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometristNo
2207W00000XOphthalmologyYes

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: 11/21/2025

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