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NPI Code Detail

MEDICARE: EYE SITE OF TAMPA BAY PA

MEDICARE: EYE SITE OF TAMPA BAY PA
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
1152W00000XOptometrist
2207W00000XOphthalmology Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
140595AOTHERFLPTAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1750478632
Entity Type Code : Organization
Provider Name (Legal Business Name) : EYE SITE OF TAMPA BAY PA
Provider Business Mailing Address
First Line : 2031 LITTLE ROAD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-1294
Country : US
Telephone Number : 727-375-0300
Fax Number : 727-375-1240
Provider Business Practice Location Address
First Line : 2031 LITTLE RD
Second Line :
City : NEW PORT RICHEY
State : FL
Zip : 34655-1294
Country : US
Telephone Number : 727-375-0300
Fax Number : 727-375-1240
Authorized Official
Title or Position : OWNER
Name : DR. HERBERT P. KNAUF III
Credential : M.D.
Telephone Number : 727-799-3772
Provider Enumeration Date : 10/10/2006
Last Update Date : 05/06/2016

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Directions to “EYE SITE OF TAMPA BAY PA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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