Organization
PINELLAS EYE CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H MANNING JR. MD (OWNER/ MEDICAL DIRECTOR)
(727) 895-2020
Entity
Organization
Contact information
Practice address
6036 PARK BLVD N, PINELLAS PARK, FL 33781-3228
(727) 549-2105
(727) 768-0488
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
—
—
152WC0802X
Corneal and Contact Management Optometrist
—
—
152WP0200X
Pediatric Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
207WX0107X
Retina Specialist (Ophthalmology) Physician
—
—
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
—
—
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
—
—
332900000X
Non-Pharmacy Dispensing Site
—
FL
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EK202A
MEDICARE
FL
Enumeration date
06/01/2015
Last updated
07/23/2024
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