Eye Site Of Tampa Bay Pa | |
2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4413 | |
(727) 799-3772 | |
(727) 797-2957 |
Full Name | Eye Site Of Tampa Bay Pa |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2560 Gulf To Bay Blvd, Clearwater, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689773657 | NPI | - | NPPES |
40595 | Other | FL | PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Andrea L Lusk |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1538179270 PECOS PAC ID: 8527958891 Enrollment ID: I20040319000752 |
Provider Name | James A Muse |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710964077 PECOS PAC ID: 6507885159 Enrollment ID: I20051115000112 |
Provider Name | Herbert Paul Knauf |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1396774501 PECOS PAC ID: 9335148535 Enrollment ID: I20100626000124 |
Provider Name | Michelle Marie Hernandez |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1396767208 PECOS PAC ID: 3678604071 Enrollment ID: I20100629000519 |
Mailing Address | Practice Location Address |
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Eye Site Of Tampa Bay Pa 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4413 Ph: (727) 799-3772 | Eye Site Of Tampa Bay Pa 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4413 Ph: (727) 799-3772 |