Individual provider Active NPI

Andreas Zacharopoulos, OD

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1194377317
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5660 Issued in FL
Practice address
9400 9TH St N
St Petersburg, FL 33702-2422
Phone
(727) 943-3111
NPI assigned
Jul 9, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5660 FL Primary

Addresses

Primary practice location

9400 9TH St N
St Petersburg, FL 33702-2422

Mailing address

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

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
I20200415000766 FL Practitioner - Optometry 2668802679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Cataract and Laser InstituteGroup PAC ID 7517853948, 54 clinicians

Practice addresses (Care Compare)

13303 N Dale Mabry Hwy
Tampa, FL 33618-2409
Phone (813) 384-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Florida Professional PLLC Optometrist CurrentSince Dec 2, 2022 Accepting new patients
St Lukes Cataract & Laser Institute Optometrist CurrentSince Jul 1, 2025 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 22, 2020 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Jul 10, 2020 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Jun 22, 2020 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients
Eyes on Preston Park PLLC Optometrist Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

10934 N Dale Mabry Hwy
Carrollwood, FL 33618
Phone (813) 559-4990

2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207

30323 US Highway 19 N
Clearwater, FL 33761
Phone (727) 373-3030

2161 Main St
Dunedin, FL 34698
Phone (727) 734-8843

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

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

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

10224 E Adamo Dr
Tampa, FL 33619
Phone (813) 315-9898

1531 S Dale Mabry Hwy
Tampa, FL 33629
Phone (605) 760-1018

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

43309 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 938-2020

27835 Wesley Chapel Blvd
Ste 110
Wesley Chapel, FL 33544
Phone (813) 907-9122

Interoperability endpoints

  • Direct secure messaging: andreas.zacharopoulosod.p1@direct.stlukeseye.nextgenshare.com

Organizations & group practices 9

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": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1194377317",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 9TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022422",
            "telephone_number": "727-943-3111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZACHAROPOULOS",
        "first_name": "ANDREAS",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-09",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.