NPIMap

Organization Active NPI

The Eye Physicians of Pinellas, PA

Doing business as Lakeland Eye Clinic

  • Durable Medical Equipment & Medical Supplies
  • Lakeland, FL
National Provider Identifier
1790488013
Registry record updated Mar 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
THE EYE PHYSICIANS OF PINELLAS, PA
Doing business as
Lakeland Eye Clinic
Practice address
4708 S Florida Ave
Lakeland, FL 33813-2165
Phone
(863) 644-6455
NPI assigned
Mar 24, 2023
Last updated
Mar 24, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
THE EYE PHYSICIANS OF PINELLAS, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2023

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

Authorized official

Name
Joseph Pravoot Gira, MDNPI 1861481152
Title
Cmo
Phone
(314) 909-0633

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

4708 S Florida Ave
Lakeland, FL 33813-2165

Mailing address

15933 Clayton Rd Ste 210
Ballwin, MO 63011-2172
Phone (636) 200-4393

Other names 1

  • Lakeland Eye Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
The Eye Physicians of Pinellas PA2 organizations share this tax ID, including this one
Part of
The Eye Physicians of Pinellas PA

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3165 N McMullen Booth Rd
Ste A1
Clearwater, FL 33761
Phone (727) 724-6230

1243 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 262-3111

5900 Central Ave
St Petersburg, FL 33707
Phone (727) 344-3008

6133 Central Ave
St Petersburg, FL 33710
Phone (727) 344-3008

955 54th Ave N
St Petersburg, FL 33703
Phone (727) 525-1000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 49

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 49

NPI Registry JSON

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679616000000",
    "number": "1790488013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15933 CLAYTON RD STE 210",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630112172",
            "telephone_number": "636-200-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4708 S FLORIDA AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338132165",
            "telephone_number": "863-644-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE PHYSICIANS OF PINELLAS, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE EYE PHYSICIANS OF PINELLAS, PA",
        "enumeration_date": "2023-03-24",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "GIRA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "PRAVOOT",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "314-909-0633",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakeland Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.