Lazenby & Heath MD'S PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

1291 Issued in FL

Legal business name

LAZENBY & HEATH MD'S PA

Practice address

1109 US Highway 19
Holiday, FL 34691-5638

Phone

(727) 934-5705

Fax

(727) 937-3756

NPI assigned

Feb 15, 2007

Organization subpart

No

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

Authorized official

Name

Diana Heather Heath, M.D.NPI 1215947957

Title

Ceo

Phone

(727) 934-5705

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Lazenby & Heath MD'S PA

  • Ophthalmology Physician
  • Largo, FL
  • NPI 1255469805

  O20040526000605

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Diana Heather Heath, M.D. F.A.C.S.

  • Ophthalmology Physician
  • Holiday, FL
  • NPI 1215947957
  Medicare reassignment NPD Authorized official
• Jennifer A. Borromeo, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
  • NPI 1932586435

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1780727172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915638",
            "telephone_number": "727-934-5705",
            "fax_number": "727-937-3756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 US HIGHWAY 19",
            "city": "HOLIDAY",
            "state": "FL",
            "postal_code": "346915638",
            "telephone_number": "727-934-5705",
            "fax_number": "727-937-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAZENBY & HEATH MD'S PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "HEATHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "727-934-5705",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "1291",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "37261500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Kolioradakis, MS, CCC-SLP
• Vicki Kunkel
• Aleesa Lafleur
• Anthony Lane, PHARMACIST
• Gilma Larrota Reyes, RN
• Malory J Leblanc, D.M.D.
• Mark Lechner, M.D.
• Kandace Colleen Ledergerber
• Leonard M Linardos, D.C.
• David Seaman Lindberg Jr., MD

• Ophthalmology Physician in Holiday, FL
• Providers in Holiday, FL by specialty
• Ophthalmology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.