Individual provider Active NPI

Amanda Geary, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1780069591
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5109 Issued in FL
Practice address
2126 1St Ave S
St Petersburg, FL 33712-1204
Phone
(727) 592-2000
NPI assigned
Jul 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5109 FL Primary

Addresses

Primary practice location

2126 1St Ave S
St Petersburg, FL 33712-1204

Mailing address

2126 1St Ave S
St Petersburg, FL 33712-1204
Phone (727) 592-2000

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
I20151007001721 FL Practitioner - Optometry 5799093910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2126 1St Ave S
St Petersburg, FL 33712-1204
Phone (727) 592-2000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC5109FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Geary OD LLC CurrentSince Nov 1, 2022 Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Aug 1, 2015 Accepting new patients
Gulf Coast Optometry, PA CurrentSince Mar 29, 2021 Accepting new patients
National Vision, Inc. Past Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

706 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 774-1318

2660 Gulf To Bay Blvd
Clearwater, FL 33759
Phone (727) 683-7207

4957 S Cleveland Ave
Fort Myers, FL 33907
Phone (239) 278-1217

2411 SW College Rd
Ocala, FL 34471
Phone (352) 873-3937

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

77 N Cattlemen Rd
Sarasota, FL 34243
Phone (941) 893-6109

2126 1st Ave S
St Petersburg, FL 33712
Phone (727) 289-4747

1915 34th St N
St Petersburg, FL 33713
Phone (727) 485-8146

Organizations & group practices 5

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": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1780069591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337121204",
            "telephone_number": "727-592-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126 1ST AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337121204",
            "telephone_number": "727-592-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEARY",
        "first_name": "AMANDA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-22",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.