NPIMap

Organization Active NPI

St. Petersburg Outpatient Surgery Center, LLC

Doing business as St. Petersburg Eye Surgery Center

  • Ambulatory Surgical Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1649911470
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ST. PETERSBURG OUTPATIENT SURGERY CENTER, LLC
Doing business as
St. Petersburg Eye Surgery Center
Practice address
6133 Central Ave
St Petersburg, FL 33710-8529
Phone
(727) 581-8706
NPI assigned
Apr 5, 2022
Last updated
May 29, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CLARKSON EYECAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Authorized official

Name
Robert J Weinstock, MDNPI 1376541664
Title
Managing Member
Phone
(727) 450-3032

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
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

6133 Central Ave
St Petersburg, FL 33710-8529

Mailing address

PO Box 2410
Largo, FL 33779-2410

Other names 1

  • St. Petersburg Eye Surgery Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220607001421 FL Part B Supplier - Ambulatory Surgical Center 5395123160 Receives reassigned benefits from 9 practitioners
Practice locations: St Petersburg, FL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
St Petersburg Outpatient Surgery Center LLC Dba St Petersburg Eye Surgery CenterCCN 10C0001710
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2263543St Petersburg Outpatient Surgery Center, LLC6133 Central Avenue, Saint Petersburg, FL 33710Certificate of waiverJun 28, 2028

National Provider Directory

National Provider Directory
Part of
Clarkson Eyecare LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 10

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": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748476800000",
    "number": "1649911470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2410",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337792410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6133 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108529",
            "telephone_number": "727-581-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PETERSBURG OUTPATIENT SURGERY CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CLARKSON EYECARE",
        "enumeration_date": "2022-04-05",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A",
        "authorized_official_last_name": "WEINSTOCK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "727-450-3032",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Petersburg Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St. Petersburg Eye Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.