Lakeland Eye Clinic | |
148 13th St Sw, Largo, FL 33770-3127 | |
(727) 581-8706 | |
(727) 586-3743 |
Full Name | Lakeland Eye Clinic |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 148 13th St Sw, Largo, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114925153 | NPI | - | NPPES |
260864200 | Medicaid | FL | |
112532000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Jonell D Gill |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518952035 PECOS PAC ID: 1355323734 Enrollment ID: I20040601001442 |
Provider Name | Jory D Williams |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073587861 PECOS PAC ID: 3274556469 Enrollment ID: I20060118000536 |
Provider Name | Lewis I Apter |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649215369 PECOS PAC ID: 0840383329 Enrollment ID: I20070830000051 |
Provider Name | Monte R Sichelman |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1518085406 PECOS PAC ID: 0143317537 Enrollment ID: I20071101000313 |
Provider Name | Jeffery D Laplume |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093745887 PECOS PAC ID: 2668545161 Enrollment ID: I20080716000680 |
Provider Name | Neel R Desai |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1609957786 PECOS PAC ID: 0446350334 Enrollment ID: I20081006000603 |
Provider Name | Francis Barreiro |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184611410 PECOS PAC ID: 6507928934 Enrollment ID: I20081218000775 |
Provider Name | James A Roberts |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1568490407 PECOS PAC ID: 3375606494 Enrollment ID: I20090115000055 |
Provider Name | Jill M Marrotte |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992911150 PECOS PAC ID: 0143378448 Enrollment ID: I20090424000213 |
Provider Name | Melinda L Gruszka |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194050203 PECOS PAC ID: 0446397228 Enrollment ID: I20091027000823 |
Provider Name | Christian J Copley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265665699 PECOS PAC ID: 5698815231 Enrollment ID: I20091212000140 |
Provider Name | Jay Justin Older |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1477531432 PECOS PAC ID: 4587633375 Enrollment ID: I20100619000121 |
Provider Name | Douglas G Johnson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114925773 PECOS PAC ID: 2062544190 Enrollment ID: I20100724000208 |
Provider Name | Robert J Weinstock |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376541664 PECOS PAC ID: 1254245236 Enrollment ID: I20100726000744 |
Provider Name | Stephen M Weinstock |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841297686 PECOS PAC ID: 0547174526 Enrollment ID: I20100726000777 |
Provider Name | Stacia Haffner Goldey |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1033112156 PECOS PAC ID: 0648342501 Enrollment ID: I20100806000844 |
Provider Name | Mary L Smith |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558369108 PECOS PAC ID: 8921122979 Enrollment ID: I20100828000018 |
Provider Name | Richard J Hairston |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1871591065 PECOS PAC ID: 2365356342 Enrollment ID: I20100828000027 |
Provider Name | Leonard S Kirsch |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1669479325 PECOS PAC ID: 8628982600 Enrollment ID: I20100828000035 |
Provider Name | Priti B Panchal |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912213240 PECOS PAC ID: 4587851605 Enrollment ID: I20101215000075 |
Provider Name | Winston T Cope |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1063609485 PECOS PAC ID: 2264614981 Enrollment ID: I20110316000559 |
Provider Name | Amy Z Martino |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073702031 PECOS PAC ID: 9931378643 Enrollment ID: I20110815000861 |
Provider Name | Kevin A. Dorsett |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1760446314 PECOS PAC ID: 2668544537 Enrollment ID: I20111207000294 |
Provider Name | Ryan T Sacksteder |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265780555 PECOS PAC ID: 3678722089 Enrollment ID: I20120928000468 |
Provider Name | Sejal D Shah Desai |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1790919868 PECOS PAC ID: 0143463620 Enrollment ID: I20130903000084 |
Provider Name | Ahmad B Tarabishy |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770629933 PECOS PAC ID: 9830292390 Enrollment ID: I20130903000766 |
Provider Name | Marlen Leon |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699935320 PECOS PAC ID: 8123274842 Enrollment ID: I20131105001822 |
Provider Name | Nora L Cothran |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467882050 PECOS PAC ID: 5890914816 Enrollment ID: I20140923002482 |
Provider Name | Vasilios F Diakonis |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1902234172 PECOS PAC ID: 2163744582 Enrollment ID: I20141212002087 |
Provider Name | Chad D Hummel |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770877284 PECOS PAC ID: 9335367176 Enrollment ID: I20150805007095 |
Provider Name | Janie A Ho |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1710961487 PECOS PAC ID: 6608848189 Enrollment ID: I20160927003191 |
Provider Name | Cori E Brodsky |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265973820 PECOS PAC ID: 4981972239 Enrollment ID: I20170610000046 |
Provider Name | Evan N Dunn |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1972879484 PECOS PAC ID: 1951547223 Enrollment ID: I20180809000451 |
Provider Name | Esther Mannix |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477106102 PECOS PAC ID: 6103153242 Enrollment ID: I20190812002684 |
Provider Name | Brandon C Clair |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1528440856 PECOS PAC ID: 4587900972 Enrollment ID: I20200806001984 |
Provider Name | Robert Taylor Davis |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295184158 PECOS PAC ID: 6709171945 Enrollment ID: I20210511000872 |
Provider Name | Caroline Watson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1144756875 PECOS PAC ID: 5991114555 Enrollment ID: I20210511002391 |
Provider Name | Justina Jacob |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972165058 PECOS PAC ID: 7012248842 Enrollment ID: I20210513000613 |
Provider Name | Rachel H Schneider |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831540475 PECOS PAC ID: 7618392911 Enrollment ID: I20220426003149 |
Provider Name | Julieta Z Ryder |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1811284748 PECOS PAC ID: 8022325828 Enrollment ID: I20220718002816 |
Provider Name | Joshua Robert Roe |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1083988851 PECOS PAC ID: 1658637152 Enrollment ID: I20221128001864 |
Provider Name | Julia Marie Byrd |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1588007553 PECOS PAC ID: 6507189578 Enrollment ID: I20230307000192 |
Provider Name | Caleb Shumway |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1225698814 PECOS PAC ID: 4385009919 Enrollment ID: I20230503001807 |
Provider Name | Jacob Jerald Liechty |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1467912253 PECOS PAC ID: 0840527552 Enrollment ID: I20230601000268 |
Provider Name | David Keith Talley |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982697058 PECOS PAC ID: 3173559796 Enrollment ID: I20240103004216 |
Mailing Address | Practice Location Address |
---|---|
Lakeland Eye Clinic Po Box 2410, Largo, FL 33779-2410 Ph: (727) 581-8706 | Lakeland Eye Clinic 148 13th St Sw, Largo, FL 33770-3127 Ph: (727) 581-8706 |