Organization Active NPI

Sunset Eye Care LLC

  • Optometrist
  • Clearwater, FL
National Provider Identifier
1245922434
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
SUNSET EYE CARE LLC
Practice address
900 N Belcher Rd
Clearwater, FL 33765-2105
Phone
(727) 447-5466
NPI assigned
May 24, 2023
Last updated
Sep 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Authorized official

Name
Dr. Samuel Petro, ODNPI 1386136380
Title
Optometrist
Phone
(317) 418-6170

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

900 N Belcher Rd
Clearwater, FL 33765-2105

Mailing address

900 N Belcher Rd
Clearwater, FL 33765-2105
Phone (727) 447-5466

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230809000740 FL Part B Supplier - Clinic/Group Practice 4981066867 Receives reassigned benefits from 2 practitioners
Practice locations: Clearwater, FL

National Provider Directory

National Provider Directory
Tax ID family
Sunset Eye Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1684886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694044800000",
    "number": "1245922434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652105",
            "telephone_number": "727-447-5466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652105",
            "telephone_number": "727-447-5466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A",
        "authorized_official_last_name": "PETRO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "317-418-6170",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.