Individual provider Active NPI

Caleb Saint Jean, O.D.

  • Optometrist
  • St Petersburg, FL
National Provider Identifier
1942650924
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5213 Issued in FL
Practice address
4940 Central Ave
St Petersburg, FL 33707-1941
Phone
(727) 321-6600
Fax
(727) 321-8300
NPI assigned
Jun 21, 2016
Last updated
Feb 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5213 FL Primary

Addresses

Primary practice location

4940 Central Ave
St Petersburg, FL 33707-1941

Mailing address

4940 Central Ave
St Petersburg, FL 33707-1941
Phone (352) 597-1209

Other practice location 1

4359 35th St N
Saint Petersburg, FL 33714-3717
Phone (727) 526-0501

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
I20161004001282 FL Practitioner - Optometry 5698063824 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4940 Central Ave
St Petersburg, FL 33707-1941
Phone (727) 321-6600

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eyes on Central Inc Optometrist Current Accepting new patients
Eye in Sight, LLC Optometrist CurrentSince Jul 1, 2020 Accepting new patients
Dr. Barry Case LLC Optometrist CurrentSince Nov 29, 2016 Accepting new patients
Central Eye Associates Optometrist Current Accepting new patients

Locations

13217 Cortez Blvd
Brooksville, FL 34613
Phone (352) 597-1209

11212 Park Blvd
Seminole, FL 33772
Phone (727) 393-1501

4940 Central Ave
St Petersburg, FL 33707
Phone (727) 321-6600

Networks

  • Freedom Health HMO Network

Organizations & group practices 5

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645401600000",
    "number": "1942650924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071941",
            "telephone_number": "352-597-1209",
            "fax_number": "877-210-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 CENTRAL AVE",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071941",
            "telephone_number": "727-321-6600",
            "fax_number": "727-321-8300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4359 35th St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337143717",
            "country_code": "US",
            "telephone_number": "727-526-0501",
            "fax_number": "727-522-1408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAINT JEAN",
        "first_name": "CALEB",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.