Healthcare Provider Details

I. General information

NPI: 1932049384
Provider Name (Legal Business Name): SEE CLEARLY FLORIDA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2026
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4919 96TH ST E
PALMETTO FL
34221-1225
US

IV. Provider business mailing address

4585 9TH AVE N
ST PETERSBURG FL
33713-6233
US

V. Phone/Fax

Practice location:
  • Phone: 941-479-1054
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: KENDRA HERALD
Title or Position: BILLING
Credential:
Phone: 941-479-1054