NPIMap

Organization Active NPI

Pautler Cohen Findlay Eichenbaum White and Crane MDS PA

Doing business as Retina Vitreous Associates of FL

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1205954666
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA
Doing business as
Retina Vitreous Associates of FL
Practice address
4344 Central Ave
St Petersburg, FL 33711-1141
Phone
(727) 323-0077
Fax
(727) 323-7627
NPI assigned
Mar 26, 2007
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Pamela Jane Pautler, ESQ
Title
Administrator
Phone
(813) 879-5795

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X

Addresses

Primary practice location

4344 Central Ave
St Petersburg, FL 33711-1141

Mailing address

4344 Central Ave
St Petersburg, FL 33711-1141
Phone (727) 323-0077

Other identifiers 2

IdentifierTypeStateIssuer
DD4629OtherFLRAILROAD MEDICARE
CB2164OtherFLRAILROAD MEDICARE

Other names 1

  • Retina Vitreous Associates of FL Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address scohen@retinavitreous.intellechartdirect.net Health Information Exchange (HIE)
Direct Messaging Address deichenbaum@retinavitreous.intellechartdirect.net Health Information Exchange (HIE)
Direct Messaging Address Awhite@retinavitreous.intellechartdirect.net Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050628000729 FL Part B Supplier - Clinic/Group Practice 7911942123 Receives reassigned benefits from 8 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Palm Harbor, FL; Wesley Chapel, FL; Trinity, FL; Temple Terrace, FL; Tampa, FL; Saint Petersburg, FL; Clearwater, FL

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

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
10D2097812Pautler Cohen Findlay and Eichenbaum MDS PA4344 Central Ave, Saint Petersburg, FL 33711Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory
Tax ID family
Pautler Cohen Findlay Eichenbaum White and Crane MDS PA6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4344 Central Ave
St Petersburg, FL 33711
Phone (727) 323-0077

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1205954666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4344 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111141",
            "telephone_number": "727-323-0077",
            "fax_number": "727-323-7627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4344 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111141",
            "telephone_number": "727-323-0077",
            "fax_number": "727-323-7627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "PAUTLER",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "813-879-5795",
        "authorized_official_credential": "ESQ"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DD4629",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CB2164",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "scohen@retinavitreous.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "Secure MDI email Steve M Cohen MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4344 Central Ave",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337111141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "deichenbaum@retinavitreous.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "MDI secure email David Eichenbaum MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4344 Central Ave",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337111141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Awhite@retinavitreous.intellechartdirect.net",
            "affiliation": "N",
            "endpointDescription": "MDI secure email Alfred White MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4344 Central Ave",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337111141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Retina Vitreous Associates of FL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.