Individual provider Active NPI

David Bentley, OPT

  • Optician
  • Largo, FL
National Provider Identifier
1326752312
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
DO4550 Issued in FL
Practice address
6585 126TH Ave Unit D1
Largo, FL 33773-1836
Phone
(727) 546-7220
Fax
(727) 546-6641
NPI assigned
Jan 13, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X DO4550 FL Primary

Addresses

Primary practice location

6585 126TH Ave Unit D1
Largo, FL 33773-1836

Mailing address

6585 126TH Ave Unit D1
Largo, FL 33773-1836
Phone (727) 546-7220

Other identifiers 1

IdentifierTypeStateIssuer
AO4689OtherFLEYEMED

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DO4550FLMDOptician

Practice roles

OrganizationSpecialtyStatusNew patients
Group W-a, Inc Optician CurrentSince Sep 14, 2025 Accepting new patients
Vision Specialty Associates, P.a. PastSince Jan 15, 2023 Accepting new patients

Locations

6585 126th Ave
Unit D1
Largo, FL 33773
Phone (727) 216-6536

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1326752312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6585 126TH AVE UNIT D1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731836",
            "telephone_number": "727-546-7220",
            "fax_number": "727-546-6641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6585 126TH AVE UNIT D1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337731836",
            "telephone_number": "727-546-7220",
            "fax_number": "727-546-6641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENTLEY",
        "first_name": "DAVID",
        "credential": "OPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-13",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "FL",
            "license": "DO4550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "AO4689",
            "state": "FL"
        }
    ],
    "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 Dec 18, 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.

Verify at the official NPI Registry.