Individual provider Active NPI

Anthony R Szetela, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1770688715
Registry record updated Sep 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3952 Issued in FL
Practice address
3501 34TH St S
St Petersburg, FL 33711-3820
Phone
(727) 479-2495
NPI assigned
Sep 14, 2006
Last updated
Sep 12, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3952 FL Primary
Optometrist 152W00000X TA1872 MD
Optometrist 152W00000X OEG0001390 PA

Addresses

Primary practice location

3501 34TH St S
St Petersburg, FL 33711-3820

Mailing address

3501 34TH St S
St Petersburg, FL 33711-3820
Phone (727) 479-2495

Other identifiers 1

IdentifierTypeStateIssuer
621014700MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050223000132 FL Practitioner - Optometry 0648222414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3501 34TH St S
Saint Petersburg, FL 33711-3820
Phone (727) 479-2495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3952FLMDOptometrist
TA1872MDMDOptometrist
OEG0001390PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Anthony R. Szetela and Associates, PA Optometrist CurrentSince Oct 21, 2014 Accepting new patients

Locations

3501 34th St S
St Petersburg, FL 33711
Phone (727) 867-5128

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1770688715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 34TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337113820",
            "telephone_number": "727-479-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 34TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337113820",
            "telephone_number": "727-479-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZETELA",
        "first_name": "ANTHONY",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3952",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA1872",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG0001390",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621014700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.