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PINELLAS EYE CARE PA NPI 1912387374


NPI Information

NPI: 1912387374
Provider Name: PINELLAS EYE CARE PA
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 10D2143199

Address:
6036 PARK BLVD N
PINELLAS PARK, FL
ZIP 33781
Phone: (727) 549-2105
Get Directions

PINELLAS EYE CARE PA is an ophthalmology in Pinellas Park, 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. PINELLAS EYE CARE PA NPI is 1912387374. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6036 PARK BLVD N
PINELLAS PARK, FL
ZIP 33781-228
Phone: (727) 549-2105
Fax: (727) 768-0488

The provider's authorized official is Michael H Manning .
The authorized official title is Owner/ Medical Director and has the following contact phone number (727) 895-2020.

The CLIA number assigned to this NPI record is 10D2143199 - pharmacy with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/1/2015 and was last updated on 7/30/2021.


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
2152WC0802XOptometristCorneal and Contact ManagementNo
3152WP0200XOptometristPediatricsNo
4207W00000XOphthalmologyYes
52084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7332900000XNon-Pharmacy Dispensing SiteFLORIDANo
8207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryNo
9207WX0107XOphthalmologyRetina SpecialistNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1EK202AOTHERFLORIDAMEDICARE

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: 5/5/2024

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