Individual provider Active NPI

Bonnie Marie Wessler-Marino, OD

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1861912461
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC6201 Issued in FL
Practice address
4359 35TH St N
St Petersburg, FL 33714-3717
Phone
(727) 525-3959
NPI assigned
Jun 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC6201 FL Primary

Addresses

Primary practice location

4359 35TH St N
St Petersburg, FL 33714-3717

Mailing address

148 13TH St SW
Largo, FL 33770-3127
Phone (813) 253-2727

Other practice location 1

501 N Howard Ave Ste 100
Tampa, FL 33606-1213
Phone (813) 253-2727

Other practice location 2

148 13th St SW
Largo, FL 33770-3127
Phone (813) 253-2727

Other practice location 3

3220 N McMullen Booth Rd
Clearwater, FL 33761-2012
Phone (727) 723-8706

Other practice location 4

11925 Sheldon Rd
Tampa, FL 33626-3644
Phone (813) 792-0444

Other identifiers 2

IdentifierTypeStateIssuer
117109600MedicaidFL
386292201MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bwessler@eapinellas.intellechartdirect.net Southeast Eye Institute, PA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180621002122 TX Practitioner - Optometry 5890068621 Reassigns benefits to 1 organization
I20201202002423 GA Practitioner - Optometry 5890068621 Reassigns benefits to 1 organization
I20230316002972 FL Practitioner - Optometry 5890068621 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
International American University at Puerto Rico - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Eye Institute PAGroup PAC ID 8224931993, 31 clinicians

Practice addresses (Care Compare)

35170 US Hwy 19 N
Palm Harbor, FL 34684-1929
Phone (727) 789-5333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gregory L Henderson MD Facs Inc Optometrist Current Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Shah Eye Center, P.a. Optometrist CurrentSince Jul 1, 2018 Accepting new patients
Gregory L Henderson MD Facs Inc Optometrist CurrentSince Jun 1, 2024 Accepting new patients
Swift Optometry Care PC Optometrist CurrentSince Nov 1, 2020 Accepting new patients
Southeast Eye Institute, PA Optometrist CurrentSince Apr 1, 2023 Accepting new patients

Locations

135 W Robertson St
Fl Eye
Brandon, FL 33511
Phone (813) 681-1122

403 Vonderburg Dr
Brandon, FL 33511
Phone (813) 681-1122

35170 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 359-7603

9375 66th St N
Pinellas Park, FL 33782
Phone (727) 541-4469

10041 US Highway 19
Ste A
Port Richey, FL 34668
Phone (727) 859-9009

4359 35th St N
St Petersburg, FL 33714
Phone (727) 525-3959

711 S Howard Ave
Ste 120
Tampa, FL 33606
Phone (813) 254-2020

22 Maple Ridge Dr
Cartersville, GA 30121
Phone (770) 606-8800

250 Skillman St
Ste 202
Brooklyn, NY 11205

1506 E Griffin Pkwy
Mission, TX 78572
Phone (956) 583-0202

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bwessler@eapinellas.intellechartdirect.net

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1861912461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4359 35TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337143717",
            "telephone_number": "727-525-3959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 N Howard Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336061213",
            "country_code": "US",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "148 13th St SW",
            "address_purpose": "LOCATION",
            "city": "Largo",
            "state": "FL",
            "postal_code": "337703127",
            "country_code": "US",
            "telephone_number": "813-253-2727",
            "fax_number": "813-253-2729",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3220 N McMullen Booth Rd",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337612012",
            "country_code": "US",
            "telephone_number": "727-723-8706",
            "fax_number": "727-451-0756",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11925 Sheldon Rd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336263644",
            "country_code": "US",
            "telephone_number": "813-792-0444",
            "fax_number": "813-792-0066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WESSLER-MARINO",
        "first_name": "BONNIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-23",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC6201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117109600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "386292201",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bwessler@eapinellas.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "Southeast Eye Institute, PA",
            "address_1": "4359 35th St N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337143717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.