Individual provider Active NPI

Parker P Plante, O.D.

  • Optometrist
  • Largo, FL
National Provider Identifier
1528055043
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC3934 Issued in FL
Practice address
3665 E Bay Dr
Suite 200
Largo, FL 33771-1990
Phone
(727) 538-2775
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ND480 ND
Optometrist 152W00000X CA8633T CA
Optometrist 152W00000X OPC3934 FL Primary

Addresses

Primary practice location

3665 E Bay Dr
Suite 200
Largo, FL 33771-1990

Mailing address

3665 E Bay Dr
Suite 200
Largo, FL 33771-1990
Phone (727) 538-2775

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
I20111201000603 FL Practitioner - Optometry 2567636558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern California College of Optometry, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

3665 E Bay Dr
Suite 200
Largo, FL 33771-1989
Phone (727) 538-2775

3740 Park Blvd N
Pinellas Park, FL 33781-3611
Phone (727) 547-4856

39310 US Hwy 19 N
Tarpon Springs, FL 34689-3986
Phone (727) 756-1220

5607 Johns Rd
Tampa, FL 33634-4499
Phone (813) 385-1873

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA8633TCAMDOptometrist
ND480NDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Nov 7, 2011 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Nov 7, 2011 Accepting new patients

Locations

3665 E Bay Dr
Ste 192
Largo, FL 33771

3665 E Bay Dr
Ste 200
Largo, FL 33771
Phone (727) 538-2775

3740 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 547-4856

4590 Park Blvd N
Ste 200
Pinellas Park, FL 33781
Phone (727) 547-4856

11290 Park Blvd
Ste B
Seminole, FL 33772
Phone (727) 374-5121

6927 4th St N
St Petersburg, FL 33702
Phone (727) 210-8672

6901 22nd Ave N
Rm 760
St Petersburg, FL 33710
Phone (727) 343-3006

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

39310 US Highway 19 N
Tarpon Springs, FL 34689
Phone (727) 756-1220

Organizations & group practices 3

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": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1528055043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3665 E BAY DR",
            "address_2": "SUITE 200",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711990",
            "telephone_number": "727-538-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 E BAY DR",
            "address_2": "SUITE 200",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337711990",
            "telephone_number": "727-538-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLANTE",
        "first_name": "PARKER",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ND",
            "license": "ND480",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA8633T",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC3934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.