Individual provider Active NPI

Marian U Webb, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1780716209
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2460 Issued in FL
Practice address
2300 Tyrone Blvd N
Sears Optical
St Petersburg, FL 33710-3924
Phone
(727) 341-7297
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2460 FL Primary

Addresses

Primary practice location

2300 Tyrone Blvd N
Sears Optical
St Petersburg, FL 33710-3924

Mailing address

1100 45TH Ave NE
St Petersburg, FL 33703-5248
Phone (727) 625-9240

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
I20050429000121 FL Practitioner - Optometry 3274572128 Reassigns benefits to 1 organization
Practice locations: St Petersburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2300 Tyrone Blvd
St Petersburg, FL 33710-3924
Phone (727) 341-7263

2300 Tyrone Blvd N
Sears Optical
St Petersburg, FL 33710-3924

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2460FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Coast Optometry, PA CurrentSince Nov 8, 2017 Accepting new patients
National Vision, Inc. Past Accepting new patients
Marian U Webb PastSince Jan 1, 1990 Accepting new patients
National Vision, Inc. Past Accepting new patients

Locations

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

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

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

2109 66th St N
St Petersburg, FL 33710
Phone (727) 342-5226

3520 4th St N
St Petersburg, FL 33704
Phone (727) 369-0043

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": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780716209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 45TH AVE NE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337035248",
            "telephone_number": "727-625-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 TYRONE BLVD N",
            "address_2": "SEARS OPTICAL",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103924",
            "telephone_number": "727-341-7297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB",
        "first_name": "MARIAN",
        "middle_name": "U",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.