Pinellas Eye Care PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

ME99008 Issued in FL

Legal business name

PINELLAS EYE CARE PA

Doing business as

Gulfcoast Eye Care

Practice address

1515 9TH Ave N
St Petersburg, FL 33705-1224

Phone

(727) 895-2020

Fax

(727) 823-8796

NPI assigned

May 27, 2010

Organization subpart

No

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

Authorized official

Name

Michael H Manning Jr., M.D.NPI 1093733271

Title

Medical Director

Phone

(727) 895-2020

Specialties & licenses 9

Addresses

Other names 1

• Gulfcoast Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: twickas@gulfcoasteye.intellechartdirect.net
• Direct secure messaging: klin@gulfcoasteye.intellechartdirect.net
• Direct secure messaging: cknapper@gulfcoasteye.intellechartdirect.net
• Direct secure messaging: bliffland@gulfcoasteye.intellechartdirect.net
• Direct secure messaging: pmishra@gulfcoasteye.intellechartdirect.net
• Direct secure messaging: jhandza@gulfcoasteye.intellechartdirect.net
• Direct secure messaging: mmanning@gulfcoasteye.intellechartdirect.net

Practitioners 19

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.

• Michael H Manning Jr., MD

  • Ophthalmology Physician
  • St Petersburg, FL
  • NPI 1093733271
  Medicare reassignment Care Compare group NPD Authorized official
• Kendra Denise Deangelis, M.D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Clearwater, FL
  • NPI 1043506595

  Ophthalmology

  Medicare reassignment Care Compare group NPD
• Marguerite Mary Kohlhepp, MD

  • Retina Specialist (Ophthalmology) Physician
  • Brandon, FL
  • NPI 1659371441
  Medicare reassignment Care Compare group NPD
• Brenda R Liffland, OD

  • Optometrist
  • Palm Harbor, FL
  • NPI 1447409974
  Medicare reassignment Care Compare group NPD
• Karen Tom Lin, OD

  • Optometrist
  • Tampa, FL
  • NPI 1841059714
  Medicare reassignment Care Compare group NPD
• Lydia Kate Luther, OD

  • Optometrist
  • Pinellas Park, FL
  • NPI 1629630579
  Medicare reassignment Care Compare group NPD
• Thanh Nguyen, OD

  • Optometrist
  • St Petersburg, FL
  • NPI 1396150587
  Medicare reassignment Care Compare group NPD
• Victoria Colasurdo Tarbutton, O.D.

  • Optometrist
  • Wesley Chapel, FL
  • NPI 1245645498
  Medicare reassignment Care Compare group NPD
• Sara Jeannette Creekmore, D.O.

  • Ophthalmology Physician
  • Abingdon, VA
  • NPI 1902131170

  FL

  Medicare reassignment Care Compare group NPD
• Jason M Handza, D.O

  • Retina Specialist (Ophthalmology) Physician
  • Pinellas Park, FL
  • NPI 1083603146
  Medicare reassignment Care Compare group
• Jasmine Marie Bravo-Beaumont, OD

  • Optometrist
  • Chambersburg, PA
  • NPI 1427513167

  FL

  Medicare reassignment Care Compare group
• Alan M Freedman, M.D.

  • Ophthalmology Physician
  • Hudson, FL
  • NPI 1154311140
  Medicare reassignment NPD

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721692800000",
    "number": "1306165493",
    "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": "1515 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051224",
            "telephone_number": "727-895-2020",
            "fax_number": "727-823-8796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6036 Park Blvd N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813228",
            "country_code": "US",
            "telephone_number": "727-549-2105",
            "fax_number": "727-768-0488",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Tampa Rd",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346843144",
            "country_code": "US",
            "telephone_number": "727-785-4419",
            "fax_number": "727-789-3351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PINELLAS EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "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": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-895-2020",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME99008",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207WX0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gulfcoast Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gulfcoast Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natsumi Okuda Pineiro, LMHC
• Pinellas County Anesthesia Associates, LLC
• Pinellas County Health Department
• Pinellas County Health Department
• Pinellas Dental Care PLLC (Ninth Street Dental Care)
• Pinellas Health & Wellness, LLC (St. Petersburg Health & Wellness)
• Pinellas Hematology and Oncology PA
• Pinellas Imaging Consultants, PA
• Pinellas Internal Medicine Specialists, PA
• Pinellas Medical Associates, PA (Align Orthopaedic & Spine)

• Ophthalmology Physician in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Ophthalmology Physician in Florida

• 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.
• 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.