VIP EYE CARE OPTICAL BOUTIQUE AT CARILLON LLC (NPI# 1265908578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265908578 |
| Entity Type | Organization |
| Organization Name | VIP EYE CARE OPTICAL BOUTIQUE AT CARILLON LLC |
| Practice Address |
12425 28th St N Ste 103 St Petersburg FL 33716-1826 |
| Practice Telephone | 7272950500 |
| Mailing Telephone | 7272950500 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Authorized Official Name | KAITLYN ROTHBERG (CO-OWNER, OPTOMETRIST) |
| Authorized Official Telephone | 7272950500 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
12425 28TH ST N STE 103 |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33716-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699205815 | Orthopaedic Medical Group of Tampa Bay Pa | Clinic/Center | 10033 Mlk Jr St N Fl 3, St Petersburg, FL 33716 | 2017-06-20 |
| 1316471113 | Sara Alexandra Maltese | Dentist | 871 Ibis Walk Pl N Unit 7201, St Petersburg, FL 33716 | 2017-04-18 |
| 1508229972 | Florida Cardiac Therapeutics, Inc | Internal Medicine | 10033 Doctor M.l.k. Jr St N, Suite 302, St Petersburg, FL 33716 | 2016-04-01 |
| 1720440902 | Valorie Baker | Day Training, Developmentally Disabled Services | 115 112th Ave Ne Apt 627, St Petersburg, FL 33716 | 2016-03-25 |
| 1346611142 | Theresa Bowen | Occupational Therapist | 810 S. Village Drive N, #103, St. Petersburg, FL 33716 | 2015-10-19 |
| 1356775423 | Paula J Smith | Massage Therapist | 400 Carillon Pkwy #130, Mountain Tree Massage, LLC, St. Petersburg, FL 33716 | 2013-08-26 |
| 1699118596 | Kellie L Kintz | Social Worker | 540 Carillon Parkway, Apartment 3026, The Promenade At Carillon, St. Petersburg, FL 33716 | 2013-04-10 |
| 1427398288 | St. Petersburg General Hospital | General Acute Care Hospital | 11850 Doctor Martin Luther King Jr. St. North, Apt 22-312, St Petersburg, FL 33716 | 2013-02-15 |
| 1952657314 | Trudy Anna Glover | Occupational Therapy Assistant | 11850 9th Street North, Apt 20208, St Petersburg, FL 33716 | 2012-08-02 |
| 1275834129 | Prison Rehabilitative Industries & Diversified Enterprises | Dental Laboratory | 12425 28th St. N., Suite 300, St. Petersburg, FL 33716 | 2010-11-09 |
| Find all providers in zip 33716 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215358833 | Eye Doctors Optical Outlets Pa | Optometrist | 6927 4th St N, St Petersburg, FL 33702-6846 | 2013-12-27 |
| 1669604518 | Kinga Hanna Jakubowski | Optometrist | 2109 66th St N, St Petersburg, FL 33710-4711 | 2009-08-11 |
| 1023245040 | Shepard A. Adler, O.d.p.a. | Optometrist | 1115 62nd Ave N Ste A, St Petersburg, FL 33702-7400 | 2009-06-17 |
| 1255588877 | Christine Ann Manzella | Optometrist | 3520 4th St N, St Petersburg, FL 33704-1310 | 2008-08-26 |
| 1790976785 | Eye Doctors Optical Outlets Pa | Optometrist | 710 34th St N, St Petersburg, FL 33713-6538 | 2007-08-06 |
| 1225235575 | Gretta Claire Homsi | Optometrist | 10474 Roosevelt Blvd N, St Petersburg, FL 33716-3820 | 2007-06-29 |
| 1952425811 | Bryan Robert Wexler | Optometrist | 6951 Tyrone Sq, St Petersburg, FL 33710-3936 | 2007-03-18 |
| 1548384522 | Thomas K Flanagan Od and Associates Pa | Optometrist | 3322 Dr Martin Luther King Jr St N, St Petersburg, FL 33704-1212 | 2007-03-16 |
| 1902939010 | Richard E Sorkin | Optometrist | 5100 Central Ave, St Petersburg, FL 33707-1833 | 2007-03-14 |
| 1780716209 | Marian U Webb | Optometrist | 2300 Tyrone Blvd N, Sears Optical, St Petersburg, FL 33710-3924 | 2007-03-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33716 |
Please comment or provide details below to improve the information on VIP EYE CARE OPTICAL BOUTIQUE AT CARILLON LLC.
| 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.