Individual provider Active NPI

Brenda R Liffland, OD

  • Optometrist
  • Palm Harbor, FL
National Provider Identifier
1447409974
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC4340 Issued in FL
Practice address
2650 Tampa Rd
Palm Harbor, FL 34684-3144
Phone
(727) 785-4419
Fax
(727) 789-3351
NPI assigned
Sep 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC4340 FL Primary

Addresses

Primary practice location

2650 Tampa Rd
Palm Harbor, FL 34684-3144

Mailing address

1515 9TH Ave N
St Petersburg, FL 33705-1224
Phone (727) 895-2020

Other practice location 1

1515 9th Ave N
St Petersburg, FL 33705-1224
Phone (727) 895-2020

Other practice location 2

6036 Park Blvd N
Pinellas Park, FL 33781-3228
Phone (727) 549-2105

Other identifiers 1

IdentifierTypeStateIssuer
000415700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bliffland@gulfcoasteye.intellechartdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081212000221 FL Practitioner - Optometry 7012078728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinellas Eye Care PAGroup PAC ID 3577743996, 11 clinicians

Practice addresses (Care Compare)

2650 Tampa Rd
Suite a
Palm Harbor, FL 34684-3144
Phone (727) 785-4419

6036 Park Blvd N
Gulfcoast Eye Care
Pinellas Park, FL 33781-3228
Phone (727) 549-2105

Merit-based Incentive Payment System (MIPS)

Final score
92.34 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Eye Care PA Optometrist CurrentSince Aug 20, 2013 Accepting new patients
Pinellas Eye Care PA Optometrist CurrentSince Aug 20, 2013 Accepting new patients

Locations

2650 Tampa Rd
Ste A
Palm Harbor, FL 34684
Phone (727) 785-4419

2650 Tampa Rd
Palm Harbor, FL 34684
Phone (727) 785-4419

6036 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 549-2105

1515 9th Ave N
St Petersburg, FL 33705
Phone (727) 835-2020

Interoperability endpoints

  • Direct secure messaging: bliffland@gulfcoasteye.intellechartdirect.net

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": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1447409974",
    "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": "2650 TAMPA RD",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843144",
            "telephone_number": "727-785-4419",
            "fax_number": "727-789-3351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1515 9th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337051224",
            "country_code": "US",
            "telephone_number": "727-895-2020",
            "fax_number": "727-823-8796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "LIFFLAND",
        "first_name": "BRENDA",
        "middle_name": "R",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC4340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000415700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bliffland@gulfcoasteye.intellechartdirect.net",
            "affiliation": "N",
            "address_1": "2650 Tampa Rd Ste A",
            "city": "Palm Harbor",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346843144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.