OPTIC SHOPPE DME (NPI# 1619323417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619323417 |
| Entity Type | Organization |
| Organization Name | OPTIC SHOPPE DME |
| Practice Address |
1301 2nd Ave Sw Largo FL 33770-3120 |
| Practice Telephone | 7275818767 |
| Practice Fax Number | 7275818507 |
| Mailing Telephone | 7275818767 |
| Mailing Fax Number | 7275818507 |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-12 |
| Authorized Official Name | DR. JAMES F RIVENBARK III (CEO) |
| Authorized Official Telephone | 7275818767 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
1301 2ND AVE SW |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407851314 | Diagnostic Clinic Medical Group Inc. | Allergy & Immunology | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2005-06-16 |
| 1952924979 | Jordan Ashley Bennett | Advanced Practice Midwife | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2020-05-26 |
| 1205477072 | Calli Keenan Fodor | Audiologist | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2019-10-03 |
| 1093283145 | Patricia Hanratty | Nurse Practitioner | 1301 2nd Ave Sw, Largo, FL 33770-2298 | 2018-11-07 |
| 1649786781 | Erica Anne Martin | Physician Assistant | 1301 2nd Ave Sw, Largo, FL 33770-2298 | 2017-12-27 |
| 1144736927 | Mladen Nikolic | Nurse Practitioner | 1301 2nd Ave Sw, Largo, FL 33770 | 2017-12-15 |
| 1922524958 | Kimmy Nhut Nguyen | Physician Assistant | 1301 2nd Ave Sw, Largo, FL 33770 | 2017-08-22 |
| 1164959920 | Orthopaedic Associates of West Florida, Pa | Clinic/Center | 1301 2nd Ave Sw, Fl 6, Largo, FL 33770-3120 | 2017-05-11 |
| 1932644580 | Janet A Mccormick | Nurse Practitioner | 1301 2nd Ave Sw, Largo, FL 33770-2298 | 2017-01-05 |
| 1316303308 | Optic Shoppe | Eyewear Supplier (Equipment, not the service) | 1301 2nd Ave Sw, Largo, FL 33770-3120 | 2016-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912524109 | Dme of Florida, L.L.C. | Durable Medical Equipment & Medical Supplies | 10225 Ulmerton Rd Ste 2a, Largo, FL 33771-3538 | 2020-07-03 |
| 1427690288 | Medi-tek LLC | Durable Medical Equipment & Medical Supplies | 10658 Seminole Blvd, Largo, FL 33778-3328 | 2019-10-14 |
| 1336601897 | Tickled Pink Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1301 Seminole Blvd Ste 138, Largo, FL 33770-8102 | 2019-04-03 |
| 1124587555 | Durable Care, LLC | Durable Medical Equipment & Medical Supplies | 1301 Seminole Blvd Ste 128, Largo, FL 33770-8182 | 2019-03-15 |
| 1700344959 | Sunrise Health, Inc | Durable Medical Equipment & Medical Supplies | 801 W Bay Dr Ste 432, Largo, FL 33770-3234 | 2019-03-06 |
| 1992277396 | Amazon Home Medical, Inc. | Durable Medical Equipment & Medical Supplies | 12551 Indian Rocks Rd Ste 11, Largo, FL 33774-3009 | 2018-12-23 |
| 1083186480 | 5 Star Medical Inc | Durable Medical Equipment & Medical Supplies | 12551 Indian Rocks Rd Ste 12, Largo, FL 33774-3009 | 2018-12-23 |
| 1255802104 | Sst Medical Solutions, Inc. | Durable Medical Equipment & Medical Supplies | 801 W Bay Dr Ste 605, Largo, FL 33770-3268 | 2018-12-17 |
| 1093284747 | Tiger Medical, Inc. | Durable Medical Equipment & Medical Supplies | 2401 W Bay Dr Ste 116, Largo, FL 33770-4902 | 2018-11-23 |
| 1184193021 | Major Relief Inc | Durable Medical Equipment & Medical Supplies | 11561 Walsingham Rd Ste B, Largo, FL 33778-2500 | 2018-11-21 |
| Find all providers in LARGO | ||||
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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.