Organization Active NPI

Orlick & Kasper , MDS, PA

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1982697157
Registry record updated Oct 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ORLICK & KASPER , MDS, PA
Practice address
5800 49TH St N
Suite S-109
St Petersburg, FL 33709-2146
Phone
(727) 522-1115
Fax
(727) 522-0018
NPI assigned
Aug 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2021

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

Authorized official

Name
Patricia Pierce
Title
Billing/Front Office Manager
Phone
(727) 525-3649

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5800 49TH St N
Suite S-109
St Petersburg, FL 33709-2146

Mailing address

5800 49TH St N
Suite S-109
St Petersburg, FL 33709-2146
Phone (727) 522-1115

Other identifiers 2

IdentifierTypeStateIssuer
34691OtherFLBLUE SHIELD GROUP NUMBER
267330400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061120000157 FL Part B Supplier - Clinic/Group Practice 6103824784 Receives reassigned benefits from 1 practitioner
Practice locations: St Petersburg, FL

National Provider Directory

National Provider Directory

Locations

3000 W Mlk Blvd
Tampa, FL 33607
Phone (813) 877-2020

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1982697157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N",
            "address_2": "SUITE S-109",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-522-1115",
            "fax_number": "727-522-0018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 49TH ST N",
            "address_2": "SUITE S-109",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337092146",
            "telephone_number": "727-522-1115",
            "fax_number": "727-522-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLICK & KASPER , MDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-23",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "BILLING/FRONT OFFICE MANAGER",
        "authorized_official_telephone_number": "727-525-3649"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "34691",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267330400",
            "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 Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.