NPIMap

Organization Active NPI

The Eye Physicians of Pinellas, PA

Doing business as Largo Ambulatory Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Largo, FL
National Provider Identifier
1366710741
Registry record updated May 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
1162 Issued in FL
Legal business name
THE EYE PHYSICIANS OF PINELLAS, PA
Doing business as
Largo Ambulatory Surgery Center
Practice address
148 13TH St SW
Largo, FL 33770-3127
Phone
(727) 581-8706
Fax
(727) 586-3743
NPI assigned
Dec 13, 2011
Last updated
May 16, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
EYE PHYSICIANS OF PINELLAS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2022

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

Authorized official

Name
Stephen Mark Weinstock, M.D.NPI 1841297686
Title
Owner/President
Phone
(727) 581-8706

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 1162 FL Primary

Addresses

Primary practice location

148 13TH St SW
Largo, FL 33770-3127

Mailing address

PO Box 2410
Largo, FL 33779-2410
Phone (727) 581-8706

Other names 1

  • Largo Ambulatory Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120426000242 FL Part B Supplier - Ambulatory Surgical Center 5092629071 Practice locations: Largo, FL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Largo Ambulatory Surgery CenterCCN 10C0001385
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
The Eye Physicians of Pinellas PA2 organizations share this tax ID, including this one
Part of
The Eye Physicians of Pinellas PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1225 West Bay Dr
Largo, FL 33770
Phone (727) 450-3030

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 83

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.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652659200000",
    "number": "1366710741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2410",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337792410",
            "telephone_number": "727-581-8706",
            "fax_number": "727-586-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-581-8706",
            "fax_number": "727-586-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE PHYSICIANS OF PINELLAS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EYE PHYSICIANS OF PINELLAS, PA",
        "enumeration_date": "2011-12-13",
        "last_updated": "2022-05-16",
        "certification_date": "2022-05-16",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "727-581-8706",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "FL",
            "license": "1162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Largo Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Largo Ambulatory Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 16, 2022; 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.