Active NPI
Dane Andrew Kuplicki, O.D.
- Optometrist
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OPC5442
- 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, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| Kuplicki Eyecare & Optical, PLLC | Optometrist | Current | Accepting new patients |
| Eye Doctors Optical Outlets PA | Optometrist | Current | Accepting new patients |
| B&B Florida Eye Care PLLC | Optometrist | Current | Accepting new patients |
| Vip Eye Care and Optical Boutique at Carillon LLC | Optometrist | Past | Accepting new patients |
| Vip Eye Care and Eye Wear Inc | Optometrist | Past | 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.
-
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- Orlando, FL
- NPI 1164308771
-
- Optometrist
- St Petersburg, FL
- NPI 1689505166
-
- Optometrist
- Kissimmee, FL
- NPI 1104017094
-
- Optometrist
- Tampa, FL
- NPI 1114012689
-
- Optometrist
- Pinellas Park, FL
- NPI 1700077781
-
- Optometrist
- Pinellas Park, FL
- NPI 1932477650
-
- Optometrist
- St Petersburg, FL
- NPI 1336575554
-
- Optometrist
- St Petersburg, FL
- NPI 1265908578
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.