1. Home
  2. Directory
  3. Florida
  4. Palm Harbor
  5. Optometrist
  6. NPI Profile

EAST LAKE EYECARE & EYEWEAR INC
NPI 1578633442
Optometrist in Palm Harbor, FL

Active since November 08, 2006
3434 E LAKE RD STE 3, PALM HARBOR, FL 34685(727) 781-7922 Get Directions Write a Review

NPPES record last updated: September 20, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About East Lake Eyecare & Eyewear Inc NPPES

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

EAST LAKE EYECARE & EYEWEAR INC (NPI 1578633442) is a healthcare organization registered as an optometrist in Palm Harbor, Florida and active in the NPI registry since November 2006. The organization lists Tara M Rusoff, President, as its authorized official.

NPPES Registry Identity

NPI1578633442
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameEAST LAKE EYECARE & EYEWEAR INC
Location Address3434 E LAKE RD STE 3Palm Harbor, FL 34685-2401
Mailing Address3434 E Lake Rd Ste 3Palm Harbor, FL 34685-2401 · (727) 781-7922
Phone(727) 781-7922
Organization SubpartNo
Authorized OfficialTara M RusoffPresident · (727) 781-7922
Enumeration DateNovember 8, 2006
Last NPPES UpdateSeptember 20, 2014
✔ NPI 1578633442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in FL · 3810
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3434 E LAKE RD STE 3, Palm Harbor, FL 34685
Open in Google Maps ↗

Other Identifiers 3

Medicare PINAA404FL
Medicare PINDG2571FL
Medicare NSC5996740001FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

East Lake Eyecare & Eyewear Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to East Lake Eyecare & Eyewear Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Tara Rusoff, O.D.
Optometry
NPI 1235144023
3434 E LAKE RD STE 3
Palm Harbor, FL 34685
(727) 781-7922
✔ PECOS✔ Accepts MedicareSame address
Stacey Wenger, O.D.
Optometry
NPI 1427014075
14901 N DALE MABRY HWY
Tampa, FL 33618
(813) 960-8958
✔ PECOS✔ Accepts Medicare12 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Lake Eyecare & Eyewear Inc's NPI number?

The NPI number for East Lake Eyecare & Eyewear Inc is 1578633442. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is East Lake Eyecare & Eyewear Inc located?

East Lake Eyecare & Eyewear Inc is located at 3434 E Lake Rd Ste 3, Palm Harbor, FL 34685. The listed phone number is (727) 781-7922.

What is East Lake Eyecare & Eyewear Inc's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is East Lake Eyecare & Eyewear Inc enrolled in Medicare?

Yes. East Lake Eyecare & Eyewear Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through East Lake Eyecare & Eyewear Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Optometry, reassign their Medicare billing to East Lake Eyecare & Eyewear Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does East Lake Eyecare & Eyewear Inc accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list East Lake Eyecare & Eyewear Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for East Lake Eyecare & Eyewear Inc was last updated on September 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.