Individual provider Active NPI

Jill M Marrotte, O.D.

  • Optometrist
  • Largo, FL
National Provider Identifier
1992911150
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2075 Issued in FL
Practice address
148 13TH St SW
Largo, FL 33770-3127
Phone
(727) 450-3032
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2075 FL Primary

Addresses

Primary practice location

148 13TH St SW
Largo, FL 33770-3127

Mailing address

430 3Rd Ave S Apt 332
Saint Petersburg, FL 33701-4189
Phone (561) 212-8585

Other practice location 1

2300 N Commerce Pkwy
Suite 201
Weston, FL 33326-3254
Phone (954) 525-7750

Other identifiers 1

IdentifierTypeStateIssuer
100787800MedicaidFL

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
I20090424000213 FL Practitioner - Optometry 0143378448 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2075FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pinellas Eye Care PA Optometrist CurrentSince Sep 1, 2018 Accepting new patients
The Eye Physicians of Pinellas, PA Optometrist CurrentSince Nov 26, 2018 Accepting new patients
Pinellas Eye Care PA Optometrist CurrentSince Sep 1, 2018 Accepting new patients
The Eye Physicians of Pinellas, PA CurrentSince Nov 26, 2018 Accepting new patients
The Eye Physicians of Pinellas, PA Past Accepting new patients

Locations

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

148 13th St SW
Ste 200
Largo, FL 33770
Phone (727) 450-3030

148 13th St SW
Largo, FL 33770
Phone (727) 450-3030

6036 Park Blvd N
Pinellas Park, FL 33781
Phone (727) 549-2105

1515 9th Ave N
St Petersburg, FL 33705
Phone (727) 835-2020

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

Interoperability endpoints

  • Direct secure messaging: jmarrotte@directaddress.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1992911150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 3RD AVE S APT 332",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337014189",
            "telephone_number": "561-212-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 13TH ST SW",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703127",
            "telephone_number": "727-450-3032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 N Commerce Pkwy",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Weston",
            "state": "FL",
            "postal_code": "333263254",
            "country_code": "US",
            "telephone_number": "954-525-7750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARROTTE",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "2075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100787800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

Verify at the official NPI Registry.