Active NPI
Allen Dwayne Lamasco
- Optician
- Seminole, FL
National Provider Identifier
1396915559
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- DO5700
- Practice address
- 7165 Seminole Blvd
Seminole, FL 33772-5934 - Phone
- (727) 392-0907
- Fax
- (727) 392-0897
- NPI assigned
- Mar 4, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | DO5700 | FL | Primary |
Addresses
Primary practice location
7165 Seminole Blvd
Seminole, FL 33772-5934
Mailing address
4399 35TH St N
St Petersburg, FL 33714-3722
Phone (727) 526-0501
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
| License | State | Type | Specialty |
|---|---|---|---|
| DO5700 | FL | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimart, Inc. | Optician | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1396915559",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4399 35TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337143722",
"telephone_number": "727-526-0501",
"fax_number": "727-522-1408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7165 SEMINOLE BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337725934",
"telephone_number": "727-392-0907",
"fax_number": "727-392-0897"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMASCO",
"first_name": "ALLEN",
"middle_name": "DWAYNE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-03-04",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "FL",
"license": "DO5700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Seminole, FL
- Charles H Lacoste, DC
- Lake Balaton, Inc. (The Villas of Casa Celeste)
- Lake Seminole Square Management Company, LLC (Lake Seminole Square)
- Lakeside Optical Inc
- Peter S Lally, RPT
- Amanda Marie Laurenzo, PHARM D
- Keanan Lawrence, AGACNP-BC
- Thanh Thien Le, MD
- Learning Ladders Therapy Solutions, LLC
- Colleen Leclair, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.