OPTIMART, INC. (NPI# 1316154164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316154164 |
Entity Type | Organization |
Organization Name | OPTIMART, INC. |
Other Organization Name | OPTIMART, INC. #10 |
Practice Address |
5115 34th St S St Petersburg FL 33711-4515 |
Mailing Address |
4399 35th St N St Petersburg FL 33714-3717 |
Practice Telephone | 7278666506 |
Practice Fax Number | 7278666742 |
Mailing Telephone | 7278123020 |
Mailing Fax Number | 7275254835 |
Enumeration Date | 2007-05-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GREGORY LOUIS MATHIS (ADMINISTRATOR) |
Authorized Official Telephone | 7278123020 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
OE369 | FL | Eye and Vision Services Providers |
Other Name | Type Code |
---|---|
OPTIMART, INC. #10 | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487861449 | Optimart, Inc. | Technician/Technologist | 2325 Bee Ridge Rd, Sarasota, FL 34239-6204 | 2007-05-17 |
1801003678 | Optimart, Inc. | Technician/Technologist | 1867 Tamiami Trl S, Venice, FL 34293-3142 | 2007-05-17 |
1609083484 | Optimart, Inc. | Technician/Technologist | 7440 Gall Boulevard, Zephyrhills, FL 33541-4308 | 2007-05-17 |
1124235049 | Optimart, Inc. | Technician/Technologist | 10041a Us Highway 19, Port Richey, FL 34668-3742 | 2007-05-17 |
1780110924 | Optimart, Inc. | Technician/Technologist | 4359 35th St N, St Petersburg, FL 33714-3717 | 2017-05-09 |
1861600488 | Optimart, Inc. | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2007-05-18 |
1740497676 | Optimart, Inc. | Technician/Technologist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2007-05-17 |
1174730352 | Optimart, Inc. | Technician/Technologist | 35170 Us Highway 19 N, Palm Harbor, FL 34684-1929 | 2007-05-17 |
1922215136 | Optimart, Inc. | Technician/Technologist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2007-05-17 |
1811104672 | Optimart, Inc. | Technician/Technologist | 1661 Se Us Highway 19, Crystal River, FL 34429-4830 | 2007-05-17 |
Street Address |
5115 34TH ST S |
City | ST PETERSBURG |
State | FL |
Zip Code | 33711-4515 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104032895 | Vision Specialty Associates, P.a. | Optometrist | 5115 34th St S, St Petersburg, FL 33711-4515 | 2007-05-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639665110 | Armando Alvarez Gonzalez | Nurse Practitioner | 3404 26th Ave S, St Petersburg, FL 33711 | 2018-07-08 |
1508398843 | S&r Cares LLC | Preferred Provider Organization | 4201 4th Avenue South Street, St Petersburg, FL 33711 | 2017-03-28 |
1245691062 | Brian Paulson | Counselor | 4024 Central Ave # 1239, Saint Petersburg, FL 33711 | 2016-03-08 |
1871966069 | Kelly Jean Plant | Home Health Aide | 3611 3rd Ave South, St Petersburg, FL 33711 | 2015-11-10 |
1750784815 | Honor Investments LLC | Community/Behavioral Health | 4750 Dophin Cay Ln S, #508, St Petersburg, FL 33711 | 2014-10-03 |
1063771947 | Vincent Ford | Physical Therapy Assistant | 3479 22nd Avenue, St.petersburg, FL 33711 | 2012-05-11 |
1568758571 | Ashley Lauren Taliaferro | Physical Therapist | 5042 42nd St S, Saint Petersburg, FL 33711 | 2011-06-28 |
1801180187 | Karen Lynn Wilcox | Massage Therapist | 2026 44th Street S, Saint Petersburg, FL 33711 | 2011-06-04 |
1881998722 | Martha L Allen | Assisted Living Facility | 1860 46 Street South, St. Petersburg, FL 33711 | 2011-01-07 |
1760519052 | Scg Palazzo Operator, LLC | Assisted Living Facility | 3600 34th St South, St Augustine, FL 33711 | 2007-02-27 |
Find all providers in zip 33711 |
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 |
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 |
1285800284 | Stephanie Michelle Hendrix | Technician/Technologist | 4399 35th St N, St Petersburg, FL 33714-3717 | 2008-04-30 |
Find all providers in ST PETERSBURG |
City | ST PETERSBURG |
Zip Code | 33711 |
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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.