NPIMap

Organization Active NPI

St Lukes Cataract & Laser Institute

  • Ophthalmology Physician
  • Tarpon Springs, FL
National Provider Identifier
1154316628
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ST LUKES CATARACT & LASER INSTITUTE
Practice address
43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone
(727) 943-3111
Fax
(727) 943-3334
NPI assigned
Sep 12, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2025

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

Authorized official

Name
Mark H Lindberg
Title
Authorized Official
Phone
(727) 943-3111

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Dermatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207N00000X
MOHS-Micrographic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207ND0101X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221

Mailing address

43309 US Highway 19 N
Tarpon Springs, FL 34689-6221
Phone (727) 943-3111

Other identifiers 5

IdentifierTypeStateIssuer
268856501MedicaidFL
268856503MedicaidFL
CJ0192OtherFLRR MEDICARE
268856500MedicaidFL
268856504MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040224000408 FL Part B Supplier - Clinic/Group Practice 7517853948 Receives reassigned benefits from 65 practitioners
Practice locations: Tarpon Springs, FL; Tampa, FL; St Petersburg, FL; Spring Hill, FL; Clearwater, FL; Lutz, FL

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
10D2112342St Luke'S Cataract & Laser Institute43309 US Hwy 19N, Tarpon Springs, FL 34689Certificate of waiverApr 26, 2028

National Provider Directory

National Provider Directory

Locations

7509 State Road 52
Ste 110
Bayonet Point, FL 34667
Phone (727) 861-2020

501 S Fort Harrison Ave
Clearwater, FL 33756
Phone (727) 210-8811

25232 State Road 54
Ste 1
Lutz, FL 33559
Phone (727) 943-3111

9400 4th St N
Saint Petersburg, FL 33702
Phone (813) 508-7866

1186 Mariner Blvd
Spring Hill, FL 34609
Phone (727) 938-2020

187 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 684-6722

10441 Quality Dr
Ste 1
Spring Hill, FL 34609
Phone (813) 938-5600

1180 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 652-4080

9400 9th St N
St Petersburg, FL 33702
Phone (727) 328-7700

13303 N Dale Mabry Hwy
Tampa, FL 33618
Phone (727) 938-2020

43307 U S Hwy 19TH N
Tarpon Springs, FL 34689
Phone (727) 938-2020

Practitioners & affiliated clinicians

Practitioners 104

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 104

NPI Registry JSON

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742860800000",
    "number": "1154316628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-943-3111",
            "fax_number": "727-943-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43309 US HIGHWAY 19 N",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346896221",
            "telephone_number": "727-943-3111",
            "fax_number": "727-943-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES CATARACT & LASER INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A",
        "authorized_official_last_name": "LINDBERG",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "727-943-3111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268856501",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268856503",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CJ0192",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268856500",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268856504",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.