Eye Institute of West Florida – Ophthalmology Physician, NPI 1114925153
Ophthalmology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Eye Institute of West Florida
501 N Howard Ave Ste 100
Tampa, FL 336061213
Phone: (727) 581-8706
Type: Location
3220 N McMullen Booth Rd
Clearwater, FL 337612012
Phone: (727) 581-8706
Type: Location
6133 Central Ave
St Petersburg, FL 337108529
Phone: (727) 581-8706
Type: Location
1295 W Bay Dr
Largo, FL 337702203
Phone: (727) 581-8706
Type: Location
148, 13th Street Southwest, Largo, Pinellas County, Florida, 33770, United States
LARGO, FL 337703127
Phone: (727) 581-8706
Fax: (727) 586-3743
Type: Location
1243 Lakeland Hills Blvd
Lakeland, FL 338054673
Phone: (863) 262-3111
Type: Location
4708 S Florida Ave
Lakeland, FL 338132165
Phone: (863) 644-6455
Type: Location
11925 Sheldon Rd
Tampa, FL 336263644
Phone: (727) 581-8706
Type: Location
1247 Lakeland Hills Blvd
Lakeland, FL 338054673
Phone: (863) 688-5604
Type: Location
PO BOX 2410
LARGO, FL 337792410
Phone: (727) 581-8706
Fax: (727) 586-3743
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
1
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040507000828 | O | Clinic/Group Practice | FL | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33606)
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