Individual provider Active NPI

Alfred F Lappano Jr., O.D.

  • Optometrist
  • Trinity, FL
National Provider Identifier
1194727669
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1667 Issued in FL
Practice address
10751 Maple Creek Dr
Suite 104
Trinity, FL 34655-4412
Phone
(727) 375-8442
Fax
(727) 375-0942
NPI assigned
Aug 12, 2005
Last updated
Sep 14, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1667 FL Primary

Addresses

Primary practice location

10751 Maple Creek Dr
Suite 104
Trinity, FL 34655-4412

Mailing address

10751 Maple Creek Dr
Suite 104
Trinity, FL 34655-4412
Phone (727) 375-8442

Other identifiers 1

IdentifierTypeStateIssuer
078745100MedicaidFL

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
I20040628000761 FL Practitioner - Optometry 1052397288 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Eye Institute, PA Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Aug 1, 2023 Accepting new patients
Optometric Associates of Florida, P.a. Optometrist Past Accepting new patients
TB Eyecare PA Optometrist Past Accepting new patients
TB Eye Care PA Optometrist Past Accepting new patients

Locations

2637 E Gulf To Lake Hwy
#B1
Inverness, FL 34453
Phone (352) 563-1666

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

7400 Gall Blvd
Zephyrhills, FL 33541
Phone (813) 782-4546

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1194727669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10751 MAPLE CREEK DR",
            "address_2": "SUITE 104",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554412",
            "telephone_number": "727-375-8442",
            "fax_number": "727-375-0942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10751 MAPLE CREEK DR",
            "address_2": "SUITE 104",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554412",
            "telephone_number": "727-375-8442",
            "fax_number": "727-375-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAPPANO",
        "first_name": "ALFRED",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-12",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "078745100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.