Unknown Individual – Optometrist, NPI 1417943598
Optometrist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 12868
ST PETERSBURG, FL 337332868
Phone: (727) 532-1355
Fax: (727) 266-4928
Type: Mailing
620, 10th Street North, Historic Uptown, Saint Petersburg, Pinellas County, Florida, 33705, United States
ST PETERSBURG, FL 337051407
Phone: (727) 824-7134
Fax: (727) 824-8329
Type: Location
620 10TH ST N STE 2C
ST PETERSBURG, FL 337051407
Phone: (727) 824-7134
Fax: (727) 824-8329
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $70.
Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($48).
Total Amount
$70
General + Research + Ownership
Payments
3
Total payment records
General Amount
$70
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Johnson & Johnson Vision Care, Inc. | $48 |
| Tarsus Pharmaceuticals, Inc. | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92014 | Established patient complete exam of visual system | 384 | 364 | $0 |
| 92012 | Established patient problem focused exam of visual system | 153 | 113 | $0 |
| 92133 | Imaging of optic nerve | 96 | 91 | $0 |
| 92004 | New patient complete exam of visual system | 61 | 61 | $0 |
| 92083 | Exam of visual field with extended testing | 60 | 56 | $0 |
Insurance plans in this area (ZIP 33733)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| OPTOMETRY | FL | 92012 | Eye and medical examination for diagnosis and treatment, established patient | 361 | 192 |
| OPTOMETRY | FL | 92083 | Measurement of field of vision during daylight conditions | 82 | 78 |
| OPTOMETRY | FL | 92134 | Diagnostic imaging of retina | 18 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| - | FL | |
| Certified Registered Nurse Anesthetist (Crna) | MI | |
| Internal Medicine | FL | |
| Family Practice | FL | |
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| - | FL | |
| - | GA |
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