Individual provider Active NPI

Robert Adolph Flesch, O.D.

  • Optometrist
  • Seminole, FL
National Provider Identifier
1629031810
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
000709 Issued in FL
Practice address
11212 Park Blvd
Seminole, FL 33772-4752
Phone
(727) 344-7848
Fax
(727) 344-7952
NPI assigned
Apr 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 000709 FL Primary

Addresses

Primary practice location

11212 Park Blvd
Seminole, FL 33772-4752

Mailing address

4591 39TH St S
St Petersburg, FL 33711-4411
Phone (727) 866-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000709FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Joel Marantz, OD,PA Optometrist Past Accepting new patients
St Petersburg Eye Care Specialists P.a. Optometrist PastSince May 1, 2015 Accepting new patients

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": "1144540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629031810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4591 39TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114411",
            "telephone_number": "727-866-2020",
            "fax_number": "727-866-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 PARK BLVD",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337724752",
            "telephone_number": "727-344-7848",
            "fax_number": "727-344-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLESCH",
        "first_name": "ROBERT",
        "middle_name": "ADOLPH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "000709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seminole, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.