Active NPI
Michelle Diane Fekete, O.D.
- Optometrist
- Clearwater, FL
National Provider Identifier
1629388301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC004574
- Practice address
- 2747 Gulf to Bay Blvd
Clearwater, FL 33759-3945 - Phone
- (727) 726-3207
- Fax
- (727) 431-0236
- NPI assigned
- Oct 15, 2010
- 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 | OPC004574 | FL | Primary |
Addresses
Primary practice location
2747 Gulf to Bay Blvd
Clearwater, FL 33759-3945
Mailing address
10441 Lightner Bridge Dr
Tampa, FL 33626-1815
Phone (901) 849-4148
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
| License | State | Type | Specialty |
|---|---|---|---|
| OPC004574 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twentytwenty Inc | Optometrist | Current | Accepting new patients |
Locations
2747 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 431-0232
Organizations & group practices 1
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.
-
- Optometrist
- Clearwater, FL
- NPI 1336656016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603324800000",
"number": "1629388301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10441 LIGHTNER BRIDGE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336261815",
"telephone_number": "901-849-4148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2747 GULF TO BAY BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337593945",
"telephone_number": "727-726-3207",
"fax_number": "727-431-0236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEKETE",
"first_name": "MICHELLE",
"middle_name": "DIANE",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-15",
"last_updated": "2020-10-22",
"certification_date": "2020-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC004574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.