Individual provider Active NPI

George Alan Linsey, O.D.

  • Optometrist
  • Tampa, FL
National Provider Identifier
1093783920
Registry record updated Aug 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
#OPC2745 Issued in FL
Practice address
12964 N Dale Mabry Hwy
Tampa, FL 33618-2806
Phone
(813) 960-8896
Fax
(813) 960-3248
NPI assigned
Mar 8, 2006
Last updated
Aug 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X #OPC2745 FL Primary

Addresses

Primary practice location

12964 N Dale Mabry Hwy
Tampa, FL 33618-2806

Mailing address

17633 Gunn Hwy
Ste 364
Odessa, FL 33556-1912
Phone (813) 960-8896

Other identifiers 1

IdentifierTypeStateIssuer
620034600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20120919000488 PA Practitioner - Optometry 0446375919 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
#OPC2745FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
George Linsey O.D. P.C. Optometrist CurrentSince Oct 8, 1994 Accepting new patients
Linsey Parsons OD PA Optometrist Past Accepting new patients

Locations

17633 Gunn Hwy
Odessa, FL 33556
Phone (813) 926-5700

1901 Ridgewood Rd
Wyomissing, PA 19610
Phone (610) 373-2300

Organizations & group practices 3

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": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471910400000",
    "number": "1093783920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17633 GUNN HWY",
            "address_2": "STE 364",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335561912",
            "telephone_number": "813-960-8896",
            "fax_number": "813-960-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12964 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182806",
            "telephone_number": "813-960-8896",
            "fax_number": "813-960-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINSEY",
        "first_name": "GEORGE",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2016-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "#OPC2745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620034600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.