MEDICARE: SEE CLEARLY FLORIDA

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

General Provider Information

NPI Number	:	1932049384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEE CLEARLY FLORIDA

Provider Business Mailing Address
First Line	:	4585 9TH AVE N
Second Line	:
City	:	ST PETERSBURG
State	:	FL
Zip	:	33713-6233
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4919 96TH ST E
Second Line	:
City	:	PALMETTO
State	:	FL
Zip	:	34221-1225
Country	:	US
Telephone Number	:	937-369-7319
Fax Number	:

Authorized Official
Title or Position	:	BILLING
Name	:	KENDRA HERALD
Credential	:
Telephone Number	:	740-606-0897

Provider Enumeration Date	:	03/28/2026
Last Update Date	:	03/28/2026

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Directions to “SEE CLEARLY FLORIDA ” Practice Location

Language	Start Address	Practice Location

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