Organization Active NPI

Elena Neveux OD PA

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1790968667
Registry record updated Sep 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3930 Issued in FL
Legal business name
ELENA NEVEUX OD PA
Practice address
9797 Bay Pines Blvd
St Petersburg, FL 33708-3775
Phone
(727) 398-5090
NPI assigned
Dec 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2011

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

Authorized official

Name
Dr. Elena Neveux, O.D.
Title
President
Phone
(772) 349-8877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPC 3930 FL Primary

Addresses

Primary practice location

9797 Bay Pines Blvd
St Petersburg, FL 33708-3775

Mailing address

487 Bayou Village Dr
Tarpon Springs, FL 34689-3607
Phone (772) 349-8877

Other identifiers 1

IdentifierTypeStateIssuer
621231000MedicaidFL

National Provider Directory

National Provider Directory

Locations

699 NW Airoso Blvd
#D
Port Saint Lucie, FL 34983

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317340800000",
    "number": "1790968667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "487 BAYOU VILLAGE DR",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346893607",
            "telephone_number": "772-349-8877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9797 BAY PINES BLVD",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337083775",
            "telephone_number": "727-398-5090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELENA NEVEUX OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2011-09-30",
        "status": "A",
        "authorized_official_last_name": "NEVEUX",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "772-349-8877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "621231000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "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 Sep 30, 2011; 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.