Active NPI
Pinellas Eye Care PA
- Ophthalmology Physician
- Palm Harbor, FL
National Provider Identifier
1255699625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- ME99008
- Legal business name
- PINELLAS EYE CARE PA
- Practice address
- 2650 Tampa Rd Ste a
Palm Harbor, FL 34684-3144 - Phone
- (727) 785-4419
- Fax
- (717) 789-3351
- NPI assigned
- Apr 24, 2012
- Last updated
- Jul 23, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael H Manning, M.D.
- Title
- President
- Phone
- (727) 895-2020
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | NU | ||
| Optometrist | 152W00000X | NU | ||
| Corneal and Contact Management Optometrist | 152WC0802X | NU | ||
| Pediatric Optometrist | 152WP0200X | NU | ||
| Ophthalmology Physician | 207W00000X | ME99008 | FL | Primary |
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | NU | ||
| Non-Pharmacy Dispensing Site | 332900000X | FL | ||
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | NU | ||
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | NU |
Addresses
Primary practice location
2650 Tampa Rd Ste a
Palm Harbor, FL 34684-3144
Mailing address
1515 9TH Ave N
St Petersburg, FL 33705-1224
Phone (727) 895-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20428800 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mmanning@gulfcoasteye.intellechartdirect.net |
National Provider Directory
National Provider DirectoryLocations
2650 Tampa Rd
Ste A
Palm Harbor, FL 34684
Phone (727) 785-4419
Interoperability endpoints
- mmanning@gulfcoasteye.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Ophthalmology Physician
- St Petersburg, FL
- NPI 1093733271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721692800000",
"number": "1255699625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 9TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337051224",
"telephone_number": "727-895-2020",
"fax_number": "727-823-8796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 TAMPA RD STE A",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346843144",
"telephone_number": "727-785-4419",
"fax_number": "717-789-3351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PINELLAS EYE CARE PA",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-24",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "727-895-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "FL",
"license": "ME99008",
"primary": true
},
{
"code": "2084N0402X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "FL",
"license": null,
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20428800",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mmanning@gulfcoasteye.intellechartdirect.net",
"affiliation": "N",
"address_1": "1515 9th Ave N",
"city": "St Petersburg",
"state": "FL",
"country_code": "US",
"postal_code": "337051224",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Palm Harbor, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.