OPTIMART, INC.


Address: 5115 34th St S, St Petersburg, FL 33711-4515
Phone: 7278666506

OPTIMART, INC. (NPI# 1316154164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
OE369 FL Eye and Vision Services Providers

Other Provider/Organization Names

Other Name Type Code
OPTIMART, INC. #10 Doing Business As Name - Organization

Other Provider IDs and Locations

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

Office Location

Street Address 5115 34TH ST S
City ST PETERSBURG
State FL
Zip Code 33711-4515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104032895 Vision Specialty Associates, P.a. Optometrist 5115 34th St S, St Petersburg, FL 33711-4515 2007-05-16

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City ST PETERSBURG
Zip Code 33711

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Dataset Information

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.

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