Eyedentity Optical

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYEDENTITY OPTICAL

Practice address

1030 W Bay Dr Ste 201
Largo, FL 33770-3276

Phone

(727) 585-2200

NPI assigned

Jul 31, 2023

Organization subpart

No

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

Authorized official

Name

Louis MichaelosNPI 1326453267

Title

Owner

Phone

(727) 585-2200

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Louis John Michaelos, D.O

  • Cornea and External Diseases Specialist Physician
  • Largo, FL
  • NPI 1326453267

  Ophthalmology

  NPD Authorized official

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1174204275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W BAY DR STE 201",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703276",
            "telephone_number": "727-585-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W BAY DR STE 201",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703276",
            "telephone_number": "727-585-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDENTITY OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MICHAELOS",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-585-2200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Exceptional Behavior Consulting, LLC
• Exp Pharmacy SVC of FL LLC
• Extended Hands Project Inc.
• Eye Doctors Optical Outlets PA
• Eye Institute Optical, L.L.C.
• F. Allan Heilman, D.D.S., P.a.
• Matthew Joseph Fabrizio, MD
• Keith W. Fady
• Brooke Elizabeth Faircloth, MS,CCC-SLP
• Tehniat Fakhar

• Ophthalmology Physician in Largo, FL
• Providers in Largo, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.