Active NPI
Brenda R Liffland, OD
- Optometrist
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC4340
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000415700 | Medicaid | FL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 74.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinellas Eye Care PA | Optometrist | Current | Accepting new patients |
| Pinellas Eye Care PA | Optometrist | Current | 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
- 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.