# LIGHTHOUSE OF PINELLAS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1801858071
- **Authorized official:** MR. DANIEL T MANN (PRESIDENT/CEO)
- **Authorized official phone:** (727) 544-4433

## Contact information

- **Practice address:** 6925 112TH CIR, LARGO, FL 33773-5200
- **Practice address phone:** (727) 544-4433
- **Practice address fax:** (727) 544-5511
- **Mailing address:** 6925 112TH CIR N, LARGO, FL 33773-5520
- **Mailing address phone:** (727) 544-4433
- **Mailing address fax:** (727) 544-5511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | NULL | Yes |
| 152WL0500X | Low Vision Rehabilitation Optometrist | — | — | Yes |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 06/09/2016