Individual provider Active NPI

Martin Edward Orlick, MD

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1003816018
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0051975 Issued in FL
Practice address
5800 49TH St N
S-109
St Petersburg, FL 33709-2146
Phone
(727) 522-1115
Fax
(727) 522-0018
NPI assigned
Aug 1, 2005
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0051975 FL Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X ME00151975 FL

Addresses

Primary practice location

5800 49TH St N
S-109
St Petersburg, FL 33709-2146

Mailing address

5800 49TH St N
S-109
St Petersburg, FL 33709-2146
Phone (727) 522-1115

Other identifiers 1

IdentifierTypeStateIssuer
054970300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000050 FL Practitioner - Ophthalmology 0941208177 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME00151975FLMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Eye Clinic and Associates PA Ophthalmology CurrentSince Feb 13, 1999 Accepting new patients
Gregory L Henderson MD Facs Inc Ophthalmology CurrentSince Dec 1, 2012 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Gregory L Henderson MD Facs Inc Ophthalmology Current Accepting new patients
Eye Associates of Manatee, LLP Ophthalmology CurrentSince Aug 7, 2018 Accepting new patients
Eye Associates of Manatee LLP CurrentSince Aug 7, 2018 Accepting new patients
Gregory L Henderson MD Facs Inc Ophthalmology CurrentSince Dec 1, 2012 Accepting new patients

Locations

6002 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 792-3937

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

3000 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607
Phone (813) 877-2020

Networks

  • FL HMO
  • FL HMO D-SNP
  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • FL PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
  • FL HMO C-SNP

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: martin.orlick.p1@direct.tec.nextgenshare.com
  • Direct secure messaging: morlick214098@orlandohealth.medalliesdirect.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1003816018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N",
            "address_2": "S-109",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-522-1115",
            "fax_number": "727-522-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N",
            "address_2": "S-109",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-522-1115",
            "fax_number": "727-522-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORLICK",
        "first_name": "MARTIN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-01",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0051975",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "FL",
            "license": "ME00151975",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "054970300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.