GULFCOAST EYE CARE - NPI 1306165493 - Ophthalmology in St Petersburg, FL

Q: What is the provider's specialty?

The provider's specialty is Ophthalmology with taxonomy code 207W00000X.

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About Gulfcoast Eye Care NPPES

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

GULFCOAST EYE CARE (NPI 1306165493) is a healthcare organization registered as an ophthalmology in St Petersburg, Florida and active in the NPI registry since May 2010. The organization holds 3 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Michael H Manning, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1306165493

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NamePINELLAS EYE CARE PA

Location Address1515 9TH AVE NSt Petersburg, FL 33705-1224

Mailing Address1515 9th Ave NSt Petersburg, FL 33705-1224 · (727) 895-2020 · Fax (727) 823-8796

Phone(727) 895-2020

Fax(727) 823-8796

Organization SubpartNo

Authorized OfficialMichael H ManningMedical Director · (727) 895-2020

Enumeration DateMay 27, 2010

Last NPPES UpdateJuly 23, 20245 updates tracked since enumeration

NPPES CertifiedJuly 23, 2024

✔ NPI 1306165493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · ME99008

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 ListedOptometristTaxonomy 152W00000X

Also ListedOptometrist · Corneal and Contact ManagementTaxonomy 152WC0802X

Also ListedOptometrist · PediatricsTaxonomy 152WP0200X

Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X

Also ListedOphthalmology · Ophthalmic Plastic and Reconstructive SurgeryTaxonomy 207WX0200X

Also ListedPsychiatry & Neurology · Neurology with Special Qualifications in Child NeurologyTaxonomy 2084N0402X

Also ListedNon-Pharmacy Dispensing SiteTaxonomy 332900000X

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

1515 9TH AVE N, St Petersburg, FL 33705

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Other Names 1

Doing Business AsGulfcoast Eye Care

Secondary Practice Locations 2

Location 16036 Park Blvd NPinellas Park, FL 33781-3228 · Phone (727) 549-2105 · Fax (727) 768-0488

Location 22650 Tampa RdPalm Harbor, FL 34684-3144 · Phone (727) 785-4419 · Fax (727) 789-3351

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 3

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 10D2076035

Gulfcoast Eye Care · Palm Harbor, FL

Active · expires Apr 9, 2028

CLIA Number10D2076035

Laboratory TypePhysician Office

Certificate Effective DateApril 10, 2026

Certificate Expiration DateApril 9, 2028

Laboratory DirectorMichael Manning

Laboratory Phone(727) 895-2020

Laboratory LocationGulfcoast Eye Care2650 Tampa Rd, Palm Harbor, FL 34684

CLIA data matches this NPI record on: Address Name Phone

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

Certificate of Waiver 10D2090728

Gulfcoast Eye Care · Pinellas Park, FL

Active · expires Jan 28, 2027

CLIA Number10D2090728

Laboratory TypePhysician Office

Certificate Effective DateJanuary 29, 2025

Certificate Expiration DateJanuary 28, 2027

Laboratory DirectorMichael H. Manning

Laboratory Phone(727) 785-4419

Laboratory LocationGulfcoast Eye Care6036 Park Blvd, Pinellas Park, FL 33781

CLIA data matches this NPI record on: Address Name Phone

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

Certificate of Waiver 10D2169138

Gulfcoast Eye Care · Saint Petersburg, FL

Active · expires Jul 15, 2027

CLIA Number10D2169138

Laboratory TypePhysician Office

Certificate Effective DateJuly 16, 2025

Certificate Expiration DateJuly 15, 2027

Laboratory DirectorMichael H. Manning

Laboratory Phone(727) 595-2020

Laboratory LocationGulfcoast Eye Care1515 9th Ave North, Saint Petersburg, FL 33705

CLIA data matches this NPI record on: Name

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

Other Providers at the Same Location NPPES 6

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

DR. EDGAR ALFREDO BUREN MD

Plastic Surgery