Active NPI
Karla Flores Macias
- Optometrist
- Clearwater, FL
National Provider Identifier
1124868237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 6555
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6555 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Andrew Rothberg OD PA | Optometrist | Current | 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.
-
- Optometrist
- Tampa, FL
- NPI 1881095545
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.