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Organization
PINELLAS EYE CARE PA
Active
Organization
PINELLAS EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H MANNING M.D. (PRESIDENT)
(727) 895-2020
Entity
Organization
Contact information
Practice address
2650 TAMPA RD STE A, PALM HARBOR, FL 34684-3144
(727) 785-4419
(717) 789-3351
Mailing address
1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
(727) 895-2020
(727) 823-8796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
NULL
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
NULL
152WP0200X
Pediatric Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
ME99008
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
NULL
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
NULL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
NULL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20428800
—
FL
Enumeration date
04/24/2012
Last updated
07/23/2024
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