Individual provider Active NPI

Esteban Andres Peralta Chacon

  • Ophthalmology Physician
  • Largo, FL
National Provider Identifier
1053068643
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME178994 Issued in FL
Practice address
148 13TH St SW
Largo, FL 33770-3127
Phone
(813) 253-2727
Fax
(813) 253-2729
NPI assigned
Mar 3, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME178994 FL Primary

Addresses

Primary practice location

148 13TH St SW
Largo, FL 33770-3127

Mailing address

PO Box 2410
Largo, FL 33779-2410
Phone (813) 253-2727

Other practice location 1

11925 Sheldon Rd
Tampa, FL 33626-3644
Phone (813) 792-0444

Other practice location 2

3220 N McMullen Booth Rd
Clearwater, FL 33761-2012
Phone (727) 723-8706

Other practice location 3

501 N Howard Ave Ste 100
Tampa, FL 33606-1213
Phone (813) 253-2727

Other practice location 4

6133 Central Ave
St Petersburg, FL 33710-8529
Phone (727) 344-3008

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
I20260508002978 FL Practitioner - Ophthalmology 9739561671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Utah School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Eye Physicians of Pinellas, PAGroup PAC ID 5092629071, 39 clinicians

Practice addresses (Care Compare)

148 13TH St SW
Largo, FL 33770-3127
Phone (727) 581-8706

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ME178994FLMDOphthalmology Physician

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1053068643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2410",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337792410",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11925 Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336263644",
            "country_code": "US",
            "telephone_number": "813-792-0444",
            "fax_number": "813-792-0066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612012",
            "country_code": "US",
            "telephone_number": "727-723-8706",
            "fax_number": "727-451-0756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 N Howard Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336061213",
            "country_code": "US",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6133 Central Ave",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337108529",
            "country_code": "US",
            "telephone_number": "727-344-3008",
            "fax_number": "813-253-2729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALTA CHACON",
        "first_name": "ESTEBAN",
        "middle_name": "ANDRES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME178994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.