UPDEGRAFF VISION LASER AND SURGERY CENTER
NPI 1124020375
Ophthalmology in St Petersburg, FL

Q: What is Stephen A Updegraff MD PA's NPI number?

The NPI number for Stephen A Updegraff MD PA is 1124020375. It was assigned to this organization in the NPPES registry on June 1, 2005. The provider is doing business as Updegraff Vision Laser And Surgery Center.

Q: What is Stephen A Updegraff MD PA's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Active since June 01, 2005CLIA 10D2164097 · Waiver

1601 38TH AVE N, ST PETERSBURG, FL 33713(727) 822-4287(727) 822-1086 Get Directions Write a Review

NPPES record last updated: July 3, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Updegraff Vision Laser And Surgery Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

UPDEGRAFF VISION LASER AND SURGERY CENTER (NPI 1124020375) is a healthcare organization registered as an ophthalmology in St Petersburg, Florida and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Stephen Updegraff, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1124020375

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameSTEPHEN A UPDEGRAFF MD PA

Location Address1601 38TH AVE NSt Petersburg, FL 33713-1926

Mailing Address1601 38th Ave NSt Petersburg, FL 33713-1926 · (727) 822-4287 · Fax (727) 822-1086

Phone(727) 822-4287

Fax(727) 822-1086

Organization SubpartNo

Authorized OfficialStephen UpdegraffMedical Director · (727) 822-4287

Enumeration DateJune 1, 2005

Last NPPES UpdateJuly 3, 2008

✔ NPI 1124020375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · 1171

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Also ListedEyewear SupplierTaxonomy 332H00000X · License ME67224 (FL)

1601 38TH AVE N, St Petersburg, FL 33713

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Other Names 1

Doing Business AsUpdegraff Vision Laser And Surgery Center

Other Identifiers 2

Medicare ID-Type Unspecified40894FL

Medicare NSC4403500001FL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2164097

Stephen A Updegraff MD PA · Saint Petersburg, FL

Active · expires Mar 27, 2027

CLIA Number10D2164097

Laboratory TypePhysician Office

Certificate Effective DateMarch 28, 2025

Certificate Expiration DateMarch 27, 2027

Laboratory DirectorStephen A. Updegraff

Laboratory Phone(727) 822-4287

Laboratory LocationStephen A Updegraff MD PA1601 38th Ave North Ste 100, Saint Petersburg, FL 33713

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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