Organization Active NPI

Lori R Hassinger PA

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1568876084
Registry record updated Jun 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4167 Issued in FL
Legal business name
LORI R HASSINGER PA
Practice address
10127 Bay Pines Blvd
Saint Petersburg, FL 33708
Phone
(727) 686-3393
NPI assigned
Jun 12, 2014
Last updated
Jun 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2014

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

Authorized official

Name
Lori HassingerNPI 1104839075
Title
Owner
Phone
(727) 686-3393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4167 FL Primary

Addresses

Primary practice location

10127 Bay Pines Blvd
Saint Petersburg, FL 33708

Mailing address

10201 130TH St
Largo, FL 33774-5611
Phone (727) 686-3393

Other identifiers 1

IdentifierTypeStateIssuer
U84682MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140828000366 FL Part B Supplier - Clinic/Group Practice 7113145491 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

10127 Bay Pnes Blvd
Saint Petersburg, FL 33708
Phone (727) 686-3393

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1402531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403827200000",
    "number": "1568876084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10201 130TH ST",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337745611",
            "telephone_number": "727-686-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10127 BAY PINES BLVD",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "33708",
            "telephone_number": "727-686-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORI R HASSINGER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-12",
        "last_updated": "2014-06-27",
        "status": "A",
        "authorized_official_last_name": "HASSINGER",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-686-3393"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "U84682",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.

Verify at the official NPI Registry.