Suncoast Eye Clinic P a

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

035930 Issued in FL

Legal business name

SUNCOAST EYE CLINIC P A

Practice address

2200 16TH St N
Saint Petersbur, FL 33704-3106

Phone

(727) 822-4729

Fax

(727) 894-5744

NPI assigned

Dec 18, 2006

Last updated

Feb 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martin J Rosenblum, MDNPI 1740398569

Title

President

Phone

(727) 822-4729

Specialties & licenses 1

Addresses

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.

• Martin Jerome Rosenblum, M.D.

  • Ophthalmology Physician
  • St Petersburg, FL
  • NPI 1740398569
  Authorized official Same address or phone

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1134282627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337043106",
            "telephone_number": "727-822-4729",
            "fax_number": "727-894-5744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 16TH ST N",
            "city": "SAINT PETERSBUR",
            "state": "FL",
            "postal_code": "337043106",
            "telephone_number": "727-822-4729",
            "fax_number": "727-894-5744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNCOAST EYE CLINIC P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "ROSENBLUM",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-822-4729",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "035930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.