SUZY D. LEPAK (NPI# 1174647747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174647747 |
| Entity Type | Individual |
| Full Name | SUZY D. LEPAK |
| Credential | LDO |
| Practice Address |
5530 4th St N St Petersburg FL 33703-2252 |
| Practice Telephone | 7275222020 |
| Practice Fax Number | 7275222032 |
| Mailing Telephone | 7275222020 |
| Mailing Fax Number | 7275222032 |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
03331 | FL | Eye and Vision Services Providers |
| Street Address |
5530 4TH ST N |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33703-2252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891820684 | Brent J Dempsey | Optometrist | 5530 4th St N, St Petersburg, FL 33703-2252 | 2007-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376150276 | Stephanie Gayle Barnes | Rehabilitation Practitioner | 610 47th Ave N, St Petersburg, FL 33703 | 2020-09-25 |
| 1366945099 | St. Petersburg Free Clinic | General Practice | 5501 - 4th Street North, St. Petersburg, FL 33703 | 2018-03-08 |
| 1306381363 | Dominique Timothee | Behavioral Analyst | 4301 16th Street N, St Petersburg, FL 33703 | 2016-12-30 |
| 1962849455 | Bobbie Vaughn | Behavioral Analyst | 880 6th St. South, St. Petersburg, FL 33703 | 2013-05-24 |
| 1255672796 | Mary Paige Bourbeau | Nurse Practitioner | 5500 9th St N., St Petersburg, FL 33703 | 2013-03-07 |
| 1437435237 | Lynn Bonner-nelson | Counselor | 6161 Dr. Mlk Jr Street N. #204, Saint Petersburg, FL 33703 | 2011-10-25 |
| 1245545953 | Patricia Reynolds | Speech-Language Pathologist | 3950 3rd Street North, Suite D, Community Rehab Associates, St. Petersburg, Fl, FL 33703 | 2010-08-18 |
| 1326367145 | Sigurd T Rutkis | Occupational Therapist | 3835 1st Street Northeast, St. Petersburg, FL 33703 | 2010-05-18 |
| 1922338136 | Christy Carr | Mechanotherapist | 5560 Kelly Dr N, Saint Petersburg, FL 33703 | 2010-01-11 |
| 1871730317 | Ronald H Copenhaver Dmd Pa | Dentist | 4338 1st Street N, Suite C, St. Petersburg, FL 33703 | 2009-01-20 |
| Find all providers in zip 33703 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962672410 | Jeffrey T Payne | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-03-11 |
| 1316154164 | Optimart, Inc. | Technician/Technologist | 5115 34th St S, St Petersburg, FL 33711-4515 | 2007-05-17 |
| 1275609471 | Beach Drive Optical | Technician/Technologist | 238 Beach Dr Ne, St Petersburg, FL 33701-3414 | 2006-11-28 |
| 1780110924 | Optimart, Inc. | Technician/Technologist | 4359 35th St N, St Petersburg, FL 33714-3717 | 2017-05-09 |
| 1184083321 | National Vision, Inc. | Technician/Technologist | 3520 4th St N, St Petersburg, FL 33704 | 2016-02-16 |
| 1346652146 | Sarita Ledsome | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2014-05-28 |
| 1972920718 | Wal-mart Stores East, Lp | Technician/Technologist | 10237 Bay Pines Blvd, St Petersburg, FL 33708-3131 | 2014-03-18 |
| 1649562489 | Paula Jayne Boisclair | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2011-05-12 |
| 1053616201 | Vaughn Rae Meiners | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3722 | 2011-01-19 |
| 1326285594 | James Elias Lambrou | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2009-01-09 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33703 |
Please comment or provide details below to improve the information on SUZY D. LEPAK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.