Individual provider Active NPI

Thomas Bradley Lambert, OD

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1780104273
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC005433 Issued in FL
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

Updated by the provider on Nov 4, 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 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

IdentifierTypeStateIssuer
OPC005433OtherFLFLORIDA DEPARTMENT OF HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170901002284 FL Practitioner - Optometry 3779856380 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC005433FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vip Eye Care and Eye Wear Inc Optometrist CurrentSince Nov 3, 2023 Accepting new patients
Vip Eye Care and Optical Boutique at Carillon LLC Optometrist CurrentSince Jun 19, 2023 Accepting new patients
B&B Florida Eye Care PLLC Optometrist CurrentSince Oct 7, 2019 Accepting new patients
Jennifer L Manning OD PA Optometrist PastSince Nov 3, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.