MEDICARE: DR. KATE CLAFFIE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC0002876	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437252616
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATE CLAFFIE O.D.

Provider Business Mailing Address
First Line	:	2223 N WEST SHORE BLVD
Second Line	:	STE 202
City	:	TAMPA
State	:	FL
Zip	:	33607-7222
Country	:	US
Telephone Number	:	727-491-3786
Fax Number	:

Provider Business Practice Location Address
First Line	:	3317 TAMPA RD
Second Line	:
City	:	PALM HARBOR
State	:	FL
Zip	:	34684-3426
Country	:	US
Telephone Number	:	727-491-3786
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/06/2006
Last Update Date	:	08/02/2019

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Directions to “ DR. KATE CLAFFIE O.D.” Practice Location

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