Roberta Felici, O.D.
Individual provider Active NPI Optometrist · Belleair, FL
NPI 1124332879 · NPPES record last updated Apr 15, 2016
Key facts
- NPI
- 1124332879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 4901003009 (MI)
- Practice address
- 900 Ponce de Leon Blvd
Belleair, FL 33756-1035 - Phone
- (727) 204-1424
- NPI assigned
- Aug 4, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120503000130 | FL | Practitioner - Optometry | 0941462253 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4901003009 | MI | MD | Optometrist |
| OPC 3993 | FL | MD | Low Vision Rehabilitation Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Largo Family Eye Care | Optometrist | Current |
Accepting new patients |
Locations
10500 Ulmerton Rd
Ste 230
Largo, FL 33771
Phone (727) 585-8600
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 4901003009 | MI | Yes |
| Low Vision Rehabilitation Optometrist | 152WL0500X | OPC 3993 | FL |
Addresses
Primary practice location
900 Ponce de Leon Blvd
Belleair, FL 33756-1035
Mailing address
2087 Long Bow LN
Clearwater, FL 33764-6407
Phone (727) 204-1424
Other names
- Dr. Roberta Felici
Other providers in Belleair, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 15, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.