Active NPI
Thomas Bradley Lambert, OD
- Optometrist
- St Petersburg, FL
National Provider Identifier
1780104273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC005433
- Practice address
- 12425 28TH St N
St Petersburg, FL 33716-1844 - Phone
- (727) 295-0500
- Fax
- (727) 526-4829
- NPI assigned
- Jun 26, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | OPC005433 | FL | Primary |
Addresses
Primary practice location
12425 28TH St N
St Petersburg, FL 33716-1844
Mailing address
12425 28TH St N
St Petersburg, FL 33716-1844
Phone (727) 295-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OPC005433 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tlambert@floridaeye.intellechartdirect.net |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPC005433 | FL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vip Eye Care and Eye Wear Inc | Optometrist | Current | Accepting new patients |
| Vip Eye Care and Optical Boutique at Carillon LLC | Optometrist | Current | Accepting new patients |
| B&B Florida Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Jennifer L Manning OD PA | Optometrist | Past | Accepting new patients |
Locations
7855 113th St
Ste A
Seminole, FL 33772
Phone (727) 317-6174
12425 28th St N
Ste 103
St Petersburg, FL 33716
Phone (727) 295-0500
2201 4th St N
Ste A
St Petersburg, FL 33704
Phone (727) 894-0500
Interoperability endpoints
- tlambert@floridaeye.intellechartdirect.net
Organizations & group practices 4
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
- Seminole, FL
- NPI 1700314184
-
- Optometrist
- Saint Petersburg, FL
- NPI 1336575554
-
- Optometrist
- St Petersburg, FL
- NPI 1265908578
-
- Optometrist
- Pinellas Park, FL
- NPI 1932477650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1780104273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12425 28TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161844",
"telephone_number": "727-295-0500",
"fax_number": "727-526-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12425 28TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337161844",
"telephone_number": "727-295-0500",
"fax_number": "727-526-4829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAMBERT",
"first_name": "THOMAS",
"middle_name": "BRADLEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-06-26",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "FL",
"license": "OPC005433",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "OPC005433",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tlambert@floridaeye.intellechartdirect.net",
"affiliation": "N",
"address_1": "403 Vonderburg Dr",
"city": "Brandon",
"state": "FL",
"country_code": "US",
"postal_code": "335115982",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
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 Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.