NPIMap

Organization Active NPI

Stephen a Updegraff MD PA

Doing business as Updegraff Vision Laser and Surgery Center

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1124020375
Registry record updated Jul 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1171 Issued in FL
Legal business name
STEPHEN A UPDEGRAFF MD PA
Doing business as
Updegraff Vision Laser and Surgery Center
Practice address
1601 38TH Ave N
St Petersburg, FL 33713-1926
Phone
(727) 822-4287
Fax
(727) 822-1086
NPI assigned
Jun 1, 2005
Last updated
Jul 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2008

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

Authorized official

Name
Dr. Stephen Updegraff, MDNPI 1245232446
Title
Medical Director
Phone
(727) 822-4287

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 1171 FL Primary
Eyewear Supplier 332H00000X ME67224 FL

Addresses

Primary practice location

1601 38TH Ave N
St Petersburg, FL 33713-1926

Mailing address

1601 38TH Ave N
St Petersburg, FL 33713-1926
Phone (727) 822-4287

Other names 1

  • UPDEGRAFF VISION LASER AND SURGERY CENTER Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2164097Stephen a Updegraff MD PA1601 38TH Ave North Ste 100, Saint Petersburg, FL 33713Certificate of waiverMar 27, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1124020375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131926",
            "telephone_number": "727-822-4287",
            "fax_number": "727-822-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 38TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337131926",
            "telephone_number": "727-822-4287",
            "fax_number": "727-822-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHEN A UPDEGRAFF MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-01",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "UPDEGRAFF",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-822-4287",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "1171",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME67224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UPDEGRAFF VISION LASER AND SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.