LIGHTHOUSE OF PINELLAS INC (NPI# 1801858071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801858071 |
| Entity Type | Organization |
| Organization Name | LIGHTHOUSE OF PINELLAS INC |
| Practice Address |
6925 112th Cir Largo FL 33773-5200 |
| Mailing Address |
6925 112th Cir N Largo FL 33773-5520 |
| Practice Telephone | 7275444433 |
| Practice Fax Number | 7275445511 |
| Mailing Telephone | 7275444433 |
| Mailing Fax Number | 7275445511 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-06-09 |
| Authorized Official Name | MR. DANIEL T MANN (PRESIDENT/CEO) |
| Authorized Official Telephone | 7275444433 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 880145200 | 05 | |
| FL | 880147900 | 05 | |
| FL | 882356100 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LIGHTHOUSE OF PINELLAS INC | 6925 112 Cir N Ste 103, Largo, FL 33773-5200 |
| Street Address |
6925 112TH CIR |
| City | LARGO |
| State | FL |
| Zip Code | 33773-5200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699899435 | Mary Patricia Smith | Specialist | 6925 112th Cir, Suite 103, Largo, FL 33773-5200 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144719 | Rosabelle Magloire Chism | Nurse Practitioner | 11542 92nd Street North, Largo, FL 33773 | 2020-08-10 |
| 1265040976 | Gulf Coast Mental Health Services LLC | Clinic/Center | 10641 Whittngton Court, Largo, FL 33773 | 2020-07-20 |
| 1770930190 | Albert H Thurlow IIi | Nurse Practitioner | 10471 Whittington Ct, Largo, FL 33773 | 2016-05-16 |
| 1700264660 | Logan Kienholz | Behavioral Analyst | 12505 Sarky Rd, Suite G, Largo, FL 33773 | 2015-05-12 |
| 1093121998 | Dorit Morecraft | Nurse Practitioner | 10641 Whittington Court, Largo, FL 33773 | 2014-07-11 |
| 1891135281 | Shameka Jones | Pharmacist | 12091 Starkey Rd, Largo, FL 33773 | 2013-06-28 |
| 1427496942 | Kim Hoang T Vo | Podiatrist | 12685 Starkey Road, Largo, FL 33773 | 2013-06-06 |
| 1104165729 | Aaron Rigali | Pharmacist | 11701 S Belcher Rd Ste 126, Largo, FL 33773 | 2013-02-01 |
| 1518249648 | Jolynn Renee Dyer | Occupational Therapist | 8254 118th Ave Unit 100, Unit 100, Largo, FL 33773 | 2011-09-14 |
| 1366720161 | Sally Donna Plink | Massage Therapist | 10671 104th Ave N, Seminole, FL 33773 | 2011-07-27 |
| Find all providers in zip 33773 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600790 | West Coast Eye Institute Pa | Optometrist | 212 S Apopka Ave, Inverness, FL 34452-4803 | 2014-04-17 |
| 1710257910 | Rebecca Irene Munjak | Optometrist | 10000 Bay Pines, Bay Pines, FL 33744-5005 | 2012-01-04 |
| 1063420172 | Second Sight Rehab Pa | Optometrist | 4101 Nw 89th Blvd, Shands Rehabilitation Hospital, Gainesville, FL 32606-3813 | 2006-08-04 |
| 1669493219 | Harlyne Beth Knight-hantman | Optometrist | 17940 Military Trl Ste 400, Boca Raton, FL 33496-2411 | 2006-07-21 |
| 1619917374 | Rosemary Anne Carrera | Optometrist | 8100 Coral Way, Miami, FL 33155-1227 | 2006-06-08 |
| 1063489904 | Christopher R Choat | Optometrist | 215 E New Hampshire St, Orlando, FL 32804-6403 | 2006-02-28 |
| 1639660731 | Dayone | Optometrist | 8030 W Mcnab Rd, North Lauderdale, FL 33068-4226 | 2018-05-23 |
| 1770037186 | Salh Vision Enterprises Inc | Optometrist | 1400 S Orlando Ave, Suite 320, Winter Park, FL 32789-5543 | 2016-08-15 |
| 1063836625 | Schott Vision Care Pa | Optometrist | 600 S Orlando Ave, Suite 300, Maitland, FL 32751-5660 | 2014-02-18 |
| 1144566035 | Delva M Freeman | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2012-12-20 |
| Find all providers with the same taxonomy | ||||
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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.