St Petersburg Eye Care Specialists P.A.

LBN: St Petersburg Eye Care Specialists P.A.
St Petersburg Eye Care Specialists P.A. is an health care organization with primary practice located at 929 1St Ave N , Saint Petersburg FL 33705-1501. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. St Petersburg Eye Care Specialists P.A. can be contacted via phone (727) 898-3155, or through Camargo, Tara via phone (727) 543-2928.

Contact Information

Primary practice address
929 1St Ave N Saint Petersburg FL 33705-1501
Fax:
Website:
Authorized official contact:
Name: Camargo, Tara

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4723 Florida

Profile Details

NPI number 1568865038
LBN Legal business name St Petersburg Eye Care Specialists P.A.
DBA Doing business as
Authorized official Camargo, Tara
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2014
Last updated Jun 15th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568865038 NPPES
Florida MEDICAID 006512300

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