Organization Active NPI

Stonybrook Ventures Inc

Doing business as Pearle Vision of Largo

  • Point of Service
  • Largo, FL
National Provider Identifier
1073649562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
STONYBROOK VENTURES INC
Doing business as
Pearle Vision of Largo
Practice address
10593 Ulmerton Rd
Largo, FL 33771-3529
Phone
(727) 582-9070
Fax
(727) 582-9189
NPI assigned
Feb 26, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Brian Francis Cullather
Title
Owner
Phone
(727) 582-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X NU Primary

Addresses

Primary practice location

10593 Ulmerton Rd
Largo, FL 33771-3529

Mailing address

10593 Ulmerton Rd
Largo, FL 33771-3529
Phone (727) 582-9070

Other names 1

  • PEARLE VISION OF LARGO Doing business as

National Provider Directory

National Provider Directory

Locations

10593 Ulmerton Rd
Largo, FL 33771
Phone (727) 582-9070

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073649562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10593 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713529",
            "telephone_number": "727-582-9070",
            "fax_number": "727-582-9189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10593 ULMERTON RD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337713529",
            "telephone_number": "727-582-9070",
            "fax_number": "727-582-9189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONYBROOK VENTURES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CULLATHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-582-9070",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE VISION OF LARGO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.