Organization Active NPI

Lazenby & Heath MD's PA

  • Ophthalmology Physician
  • Largo, FL
National Provider Identifier
1255469805
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1291 Issued in FL
Legal business name
LAZENBY & HEATH MD'S PA
Practice address
2770 E Bay Dr
Largo, FL 33771-2469
Phone
(727) 530-1426
Fax
(727) 535-9280
NPI assigned
Mar 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Diana Heather Heath, MD
Title
Ceo Owner
Phone
(727) 530-1426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 1291 FL Primary

Addresses

Primary practice location

2770 E Bay Dr
Largo, FL 33771-2469

Mailing address

2770 E Bay Dr
Largo, FL 33771-2469
Phone (727) 530-1426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040526000605 FL Part B Supplier - Clinic/Group Practice 9133100134 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Holiday, FL; Largo, FL

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory

Locations

2770 E Bay Dr
Largo, FL 33771
Phone (727) 530-1425

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1255469805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712469",
            "telephone_number": "727-530-1426",
            "fax_number": "727-535-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 E BAY DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337712469",
            "telephone_number": "727-530-1426",
            "fax_number": "727-535-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZENBY & HEATH MD'S PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "727-530-1426",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.