Individual provider Active NPI

Dane Andrew Kuplicki, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1821527276
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5442 Issued in FL
Practice address
620 10TH St N Ste 2C
St Petersburg, FL 33705-1407
Phone
(727) 824-7134
Fax
(727) 824-8329
NPI assigned
Jun 8, 2017
Last updated
Sep 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X FL
Optometrist 152W00000X OPC5442 FL Primary

Addresses

Primary practice location

620 10TH St N Ste 2C
St Petersburg, FL 33705-1407

Mailing address

14194 84TH Ter
Seminole, FL 33776-2823

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
I20170925002695 FL Practitioner - Optometry 8820362163 Reassigns benefits to 2 organizations
Practice locations: St Petersburg, FL

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Doctors Optical Outlets PAGroup PAC ID 0042123846, 97 clinicians

Practice addresses (Care Compare)

4590 Park Blvd N
Suite 200
Pinellas Park, FL 33781-3543
Phone (727) 547-4856

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Eye Doctors Optical Outlets PA Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 1, 2025 Accepting new patients
Kuplicki Eyecare & Optical, PLLC Optometrist Current Accepting new patients
Eye Doctors Optical Outlets PA Optometrist CurrentSince Dec 1, 2025 Accepting new patients
B&B Florida Eye Care PLLC Optometrist CurrentSince Jan 11, 2022 Accepting new patients
Vip Eye Care and Optical Boutique at Carillon LLC Optometrist PastSince May 1, 2019 Accepting new patients
Vip Eye Care and Eye Wear Inc Optometrist PastSince Sep 24, 2013 Accepting new patients
Jennifer L Manning OD PA Optometrist Past Accepting new patients

Locations

4590 Park Blvd N
Ste 200
Pinellas Park, FL 33781
Phone (727) 547-4856

7855 113th St
Ste A
Seminole, FL 33772
Phone (727) 317-6174

5607 Johns Rd
Tampa, FL 33634
Phone (813) 385-1873

Networks

  • Freedom Health HMO Network

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1821527276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14194 84TH TER",
            "city": "SEMINOLE",
            "state": "FL",
            "postal_code": "337762823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 10TH ST N STE 2C",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337051407",
            "telephone_number": "727-824-7134",
            "fax_number": "727-824-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPLICKI",
        "first_name": "DANE",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.