Individual provider Active NPI

Elena Neveux, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1881783215
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 3930 Issued in FL
Practice address
9797 Bay Pines Blvd
St Petersburg, FL 33708-3775
Phone
(727) 398-5090
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 3930 FL Primary

Addresses

Primary practice location

9797 Bay Pines Blvd
St Petersburg, FL 33708-3775

Mailing address

1580 SW Prosperity Way
Palm City, FL 34990-2430
Phone (772) 408-4866

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
I20041209000350 FL Practitioner - Optometry 8729044821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 3930FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Fogt P a Optometrist Past Accepting new patients
Shallom Manor Retirement Past Accepting new patients
Ocean Optical PLLC Optometrist PastSince Oct 1, 2015 Accepting new patients

Organizations & group practices 3

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1881783215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 SW PROSPERITY WAY",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902430",
            "telephone_number": "772-408-4866",
            "fax_number": "772-398-8090"
        },
        {
            "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": {
        "last_name": "NEVEUX",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.