Organization Active NPI

Eyecuity, PLLC

  • Diagnostic Radiology Physician
  • Palm Harbor, FL
National Provider Identifier
1285041848
Registry record updated Oct 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
EYECUITY, PLLC
Practice address
4167 Eagle Watch Blvd
Palm Harbor, FL 34685-3318
Phone
(631) 446-4700
Fax
(888) 972-3585
NPI assigned
Jul 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2014

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

Authorized official

Name
Mark Joseph Lodespoto, MD
Title
MD
Phone
(631) 446-4700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

4167 Eagle Watch Blvd
Palm Harbor, FL 34685-3318

Mailing address

4167 Eagle Watch Blvd
Palm Harbor, FL 34685-3318
Phone (631) 446-4700

National Provider Directory

National Provider Directory

Locations

8787 Bryan Dairy Rd
Ste 260
Largo, FL 33777
Phone (727) 393-3453

NPI Registry JSON

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

{
    "created_epoch": "1405468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413244800000",
    "number": "1285041848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4167 EAGLE WATCH BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853318",
            "telephone_number": "631-446-4700",
            "fax_number": "888-972-3585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4167 EAGLE WATCH BLVD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346853318",
            "telephone_number": "631-446-4700",
            "fax_number": "888-972-3585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECUITY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-16",
        "last_updated": "2014-10-14",
        "status": "A",
        "authorized_official_last_name": "LODESPOTO",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "631-446-4700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.