Organization Active NPI

Florida Eye Center

  • Durable Medical Equipment & Medical Supplies
  • St Petersburg, FL
National Provider Identifier
1871556753
Registry record updated Nov 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
FLORIDA EYE CENTER
Practice address
1515 9TH Ave N
St Petersburg, FL 33705
Phone
(727) 895-2020
Fax
(727) 823-8796
NPI assigned
Apr 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2009

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

Authorized official

Name
Dr. Mark A Sibley, MD
Title
Medical Director
Phone
(727) 895-2020

Specialties & licenses 1

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

Addresses

Primary practice location

1515 9TH Ave N
St Petersburg, FL 33705

Mailing address

1515 9TH Ave N
St Petersburg, FL 33705
Phone (727) 895-2020

Other identifiers 1

IdentifierTypeStateIssuer
272314000MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257292800000",
    "number": "1871556753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-895-2020",
            "fax_number": "727-823-8796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 9TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33705",
            "telephone_number": "727-895-2020",
            "fax_number": "727-823-8796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2009-11-04",
        "status": "A",
        "authorized_official_last_name": "SIBLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "727-895-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "272314000",
            "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 Nov 4, 2009; 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.