Active NPI
Harbor Ophthalmology, PLLC
- Ophthalmology Physician
- Palm Harbor, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- HARBOR OPHTHALMOLOGY, PLLC
- Practice address
- 33920 US Highway 19 N
Suite #275
Palm Harbor, FL 34684-2676 - Phone
- (727) 784-1121
- Fax
- (727) 781-4788
- NPI assigned
- May 22, 2015
- Last updated
- Sep 21, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Harry Kolodner, M.D.
- Title
- Manager
- Phone
- (727) 784-1121
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
33920 US Highway 19 N
Suite #275
Palm Harbor, FL 34684-2676
Mailing address
33920 US Highway 19 N
Suite #275
Palm Harbor, FL 34684-2676
Phone (727) 784-1121
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ME 33861 | Other | FL | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150915001218 | FL | Part B Supplier - Clinic/Group Practice | 7214244821 |
Receives reassigned benefits from 1 practitioner Practice locations: Palm Harbor, FL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Harbor Ophthalmology PLLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Eyewear Supplier
- Palm Harbor, FL
- NPI 1629440706
Locations
33920 US Highway 19 N
Ste 275
Palm Harbor, FL 34684
Phone (727) 784-1121
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Palm Harbor, FL
- NPI 1457649162
-
- Ophthalmology Physician
- Palm Harbor, FL
- NPI 1932131018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1442793600000",
"number": "1477932499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33920 US HIGHWAY 19 N",
"address_2": "SUITE #275",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842676",
"telephone_number": "727-784-1121",
"fax_number": "727-781-4788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33920 US HIGHWAY 19 N",
"address_2": "SUITE #275",
"city": "PALM HARBOR",
"state": "FL",
"postal_code": "346842676",
"telephone_number": "727-784-1121",
"fax_number": "727-781-4788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HARBOR OPHTHALMOLOGY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-22",
"last_updated": "2015-09-21",
"status": "A",
"authorized_official_last_name": "KOLODNER",
"authorized_official_first_name": "HARRY",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "727-784-1121",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "ME 33861",
"state": "FL"
}
],
"endpoints": [],
"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 Sep 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.