Eye Site of Tampa Bay PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE SITE OF TAMPA BAY PA

Practice address

2560 Gulf to Bay Blvd
Suite 100
Clearwater, FL 33765-4413

Phone

(727) 799-3772

Fax

(727) 797-2957

NPI assigned

Sep 22, 2006

Last updated

May 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Herbert P. Knauf III, M.D.NPI 1396774501

Title

Owner/Physician

Phone

(727) 799-3772

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Jerald B. Turner, M.D., P.A. Former legal business name

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Site of Tampa Bay PA

  • Ophthalmology Physician
  • New Port Richey, FL
  • NPI 1750478632

  O20061213000398

  Same enrollment

Locations

Interoperability endpoints

• Direct secure messaging: alusk@eyesitetampabay.intellechartdirect.net
• Direct secure messaging: hknauf@eyesitetampabay.intellechartdirect.net
• Direct secure messaging: mbeiler@eyesitetampabay.intellechartdirect.net
• Direct secure messaging: rknauf@eyesitetampabay.intellechartdirect.net

Practitioners 6

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.

• Herbert P Knauf III, MD

  • Ophthalmology Physician
  • Clearwater, FL
  • NPI 1396774501
  Medicare reassignment Care Compare group NPD Authorized official
• Michelle M Hernandez, OD

  • Optometrist
  • Clearwater, FL
  • NPI 1396767208
  Medicare reassignment Care Compare group NPD
• Andrea L Lusk, M.D.

  • Ophthalmology Physician
  • Port Richey, FL
  • NPI 1538179270
  Medicare reassignment Care Compare group NPD
• Rachel Lynn Knauf

  • Physician Assistant
  • Clearwater, FL
  • NPI 1629715842
  Medicare reassignment Care Compare group
• Roger John Gstalder, MD

  • Ophthalmology Physician
  • Clearwater, FL
  • NPI 1891790366
  NPD (past)
• Michael Kutryb, M.D.

  • Ophthalmology Physician
  • Titusville, FL
  • NPI 1649209115
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462492800000",
    "number": "1689773657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2560 GULF TO BAY BLVD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654413",
            "telephone_number": "727-799-3772",
            "fax_number": "727-797-2957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2560 GULF TO BAY BLVD",
            "address_2": "SUITE 100",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337654413",
            "telephone_number": "727-799-3772",
            "fax_number": "727-797-2957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SITE OF TAMPA BAY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2016-05-06",
        "status": "A",
        "authorized_official_last_name": "KNAUF",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "727-799-3772",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "40595",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerald B. Turner, M.D., P.A.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Ophthalmology Physician in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.