# PINELLAS EYE CARE PA

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

## Provider details

- **NPI number:** 1912387374
- **Authorized official:** DR. MICHAEL H MANNING JR. MD (OWNER/ MEDICAL DIRECTOR)
- **Authorized official phone:** (727) 895-2020

## Contact information

- **Practice address:** 6036 PARK BLVD N, PINELLAS PARK, FL 33781-3228
- **Practice address phone:** (727) 549-2105
- **Practice address fax:** (727) 768-0488
- **Mailing address:** 1515 9TH AVE N, ST PETERSBURG, FL 33705-1224
- **Mailing address phone:** (727) 895-2020
- **Mailing address fax:** (727) 823-8796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 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

- **Enumeration date:** 06/01/2015
- **Last updated:** 07/23/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | EK202A | MEDICARE | FL |