Individual provider Active NPI

Lloyd Firestone, OD

  • Corneal and Contact Management Optometrist
  • Tampa, FL
National Provider Identifier
1063436368
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
817 Issued in FL
Practice address
14958 N Florida Ave
Tampa, FL 33613-1626
Phone
(813) 961-6702
Fax
(813) 968-6994
NPI assigned
Jul 27, 2006
Last updated
Feb 13, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X 817 FL Primary

Addresses

Primary practice location

14958 N Florida Ave
Tampa, FL 33613-1626

Mailing address

14958 N Florida Ave
Tampa, FL 33613-1626
Phone (813) 961-6702

Other identifiers 1

IdentifierTypeStateIssuer
084102100MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120831000168 FL Practitioner - Optometry 2860649522 Practice locations: Tampa, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 1965
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14958 N Florida
Tampa, FL 33613-1626

14958 N Florida Ave
Tampa, FL 33613-1626
Phone (813) 961-6702

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
817FLMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lloyd Firestone PastSince Jul 9, 1990 Accepting new patients

Networks

  • Freedom Health HMO Network

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, 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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202860800000",
    "number": "1063436368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14958 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131626",
            "telephone_number": "813-961-6702",
            "fax_number": "813-968-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14958 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336131626",
            "telephone_number": "813-961-6702",
            "fax_number": "813-968-6994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIRESTONE",
        "first_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2008-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084102100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.