LEE SHETTLE DO PA
NPI 1780981779
Ophthalmology in Largo, FL

Q: What is Lee Shettle Do PA's NPI number?

The NPI number for Lee Shettle Do PA is 1780981779. It was assigned to this organization in the NPPES registry on February 28, 2011.

Q: What is Lee Shettle Do PA's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lee Shettle Do PA was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 28, 2011CLIA 10D1040807 · Waiver

13113 66TH ST N, LARGO, FL 33773(727) 674-2500(727) 674-2550 Get Directions Write a Review

NPPES record last updated: December 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Lee Shettle Do Pa NPPES

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

LEE SHETTLE DO PA (NPI 1780981779) is a healthcare organization registered as an ophthalmology in Largo, Florida and active in the NPI registry since February 2011. The organization holds a CLIA Waiver certificate valid through May 17, 2027 and lists Philip Lee Shettle, Owner, as its authorized official.

NPPES Registry Identity

NPI1780981779

Entity TypeOrganization

Primary Taxonomy207W00000X

Legal Business NameLEE SHETTLE DO PA

Location Address13113 66TH ST NLargo, FL 33773-1812

Mailing Address13113 66th St NLargo, FL 33773-1812 · (727) 674-2500 · Fax (727) 674-2550

Phone(727) 674-2500

Fax(727) 674-2550

Organization SubpartNo

Authorized OfficialPhilip Lee ShettleOwner · (727) 674-2500

Enumeration DateFebruary 28, 2011

Last NPPES UpdateDecember 16, 2020

NPPES CertifiedDecember 16, 2020

✔ NPI 1780981779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

License✔ Licensed in FL · OS6621

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.

13113 66TH ST N, Largo, FL 33773

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Other Identifiers 3

Other180045006FL · Railroad Medicare

Medicaid378381200FL

Other80884FL · Bcbs Of Florida

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

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 10D1040807

Lee Shettle Do PA · Largo, FL

Active · expires May 17, 2027

CLIA Number10D1040807

Laboratory TypePhysician Office

Certificate Effective DateMay 18, 2025

Certificate Expiration DateMay 17, 2027

Laboratory DirectorLee Shettle

Laboratory Phone(727) 674-2500

Laboratory LocationLee Shettle Do PA13113 66th St, N, Largo, FL 33773

CLIA data matches this NPI record on: Address Name Phone

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

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 Lee Shettle Do PA's NPI number?

The NPI number for Lee Shettle Do PA is 1780981779. It was assigned to this organization in the NPPES registry on February 28, 2011.

Where is Lee Shettle Do PA located?

Lee Shettle Do PA is located at 13113 66th St N, Largo, FL 33773. The listed phone number is (727) 674-2500.

What is Lee Shettle Do PA's specialty?

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

Does Lee Shettle Do PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D1040807) is associated with this NPI, valid through May 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lee Shettle Do PA was last updated on December 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.