Individual provider Active NPI

Karla Flores Macias

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1124868237
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6555 Issued in FL
Practice address
912 S Missouri Ave
Clearwater, FL 33756-4298
Phone
(727) 443-6493
NPI assigned
May 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 6555 FL Primary

Addresses

Primary practice location

912 S Missouri Ave
Clearwater, FL 33756-4298

Mailing address

941 Palm Dr
Belleair Beach, FL 33786-3341
Phone (314) 556-0296

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
I20250210002099 FL Practitioner - Optometry 9234669078 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Andrew Rothberg OD PAGroup PAC ID 1355563362, 3 clinicians

Practice addresses (Care Compare)

12950 Race Track Rd
Suite 111
Tampa, FL 33626-1304
Phone (813) 854-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6555FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Andrew Rothberg OD PA Optometrist CurrentSince Jan 15, 2025 Accepting new patients

Locations

12950 Race Track Rd
Ste 111
Tampa, FL 33626
Phone (813) 854-9000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1716854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1124868237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "941 PALM DR",
            "city": "BELLEAIR BEACH",
            "state": "FL",
            "postal_code": "337863341",
            "telephone_number": "314-556-0296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 S MISSOURI AVE",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564298",
            "telephone_number": "727-443-6493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLORES MACIAS",
        "first_name": "KARLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-28",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "6555",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.