Pinellas Eye Care PA
Ophthalmology in Pinellas Park, FL. Organization (NPI-2).
NPI number1912387374
StatusActive
Last updated in NPPESJul 23, 2024
Details
- NPI
- 1912387374
- Entity type
- Organization (NPI-2)
- Legal business name
- Pinellas Eye Care PA
- Organization subpart
- No
- Enumeration date
- Jun 1, 2015
- Certification date
- Jul 23, 2024
- Last updated
- Jul 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 152W00000X | Optometrist | – | – | |
| 152WC0802X | Optometrist, Corneal and Contact Management | – | – | |
| 152WP0200X | Optometrist, Pediatrics | – | – | |
| 207WX0107X | Ophthalmology, Retina Specialist | – | – | |
| 207WX0200X | Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery | – | – | |
| 2084N0402X | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | – | – | |
| 332900000X | Non-Pharmacy Dispensing Site | – | FL | |
| 332B00000X | Durable Medical Equipment & Medical Supplies | – | – |
Practice location
6036 Park Blvd NPinellas Park, FL 33781-3228
Phone 727-549-2105 · Fax 727-768-0488
Mailing address
1515 9th Ave NSt Petersburg, FL 33705-1224
Phone 727-895-2020 · Fax 727-823-8796
Authorized official
Michael H Manning
Owner/ Medical Director
7278952020
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