Southeast Eye Institute, Pa - Medicare in Pinellas Park, FL

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Southeast Eye Institute, Pa is a medicare enrolled "Ophthalmology" provider in Pinellas Park, Florida. Their current practice location is 9375 66th St, Pinellas Park, Florida. You can reach out to their office (for appointments etc.) via phone at (727) 541-4469.

Southeast Eye Institute, Pa is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Southeast Eye Institute, Pa is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1073625331.

Contact Information

Southeast Eye Institute, Pa
9375 66th St,
Pinellas Park, FL 33782-4418
(727) 541-4469
(727) 546-9661

Map and Direction




Healthcare Provider's Profile

Full NameSoutheast Eye Institute, Pa
TypeFacility
SpecialityOphthalmology
Location9375 66th St, Pinellas Park, Florida
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073625331
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8224931993
  • Enrollment ID: O20040129000966

Medical Identifiers

Medical identifiers for Southeast Eye Institute, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073625331NPI-NPPES
273965800MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist OPC2459 (Florida)Secondary
207W00000XOphthalmology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Southeast Eye Institute, Pa acts as a billing entity for following providers:
Provider NameJeffrey Dean Phillips
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811974900
PECOS PAC ID: 3274432166
Enrollment ID: I20040108000924
Provider NameMark W Salta
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295737989
PECOS PAC ID: 5597741819
Enrollment ID: I20040628000608
Provider NameAlfred Lappano
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194727669
PECOS PAC ID: 1052397288
Enrollment ID: I20040628000761
Provider NameJason M Handza
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1083603146
PECOS PAC ID: 4183696875
Enrollment ID: I20040812000355
Provider NameDouglas C Jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1063587327
PECOS PAC ID: 1557339223
Enrollment ID: I20040921000106
Provider NameJennifer S Landy
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1386609329
PECOS PAC ID: 0941279731
Enrollment ID: I20040928001350
Provider NameJames K Belville
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1477524239
PECOS PAC ID: 0143280826
Enrollment ID: I20041018000108
Provider NameNeil Scott Gorman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1578637310
PECOS PAC ID: 6507827342
Enrollment ID: I20041025000477
Provider NameJohn K Fusselman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083711196
PECOS PAC ID: 4385693894
Enrollment ID: I20050121000266
Provider NameJoseph C Militello
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1275534398
PECOS PAC ID: 4688624356
Enrollment ID: I20050202000379
Provider NameNathan R Emery
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1518959048
PECOS PAC ID: 1254363625
Enrollment ID: I20050907000221
Provider NameDennis C Ryczek
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447243852
PECOS PAC ID: 3779515143
Enrollment ID: I20050907000239
Provider NameAntonio Prado
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1790783769
PECOS PAC ID: 2264452101
Enrollment ID: I20051206000983
Provider NameEllen Chasens
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104883370
PECOS PAC ID: 3870517121
Enrollment ID: I20060125000607
Provider NameCarol H Nason
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1700884103
PECOS PAC ID: 3173534864
Enrollment ID: I20060510000129
Provider NamePhilip A Cuva
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1407960073
PECOS PAC ID: 2466451059
Enrollment ID: I20061208000169
Provider NameDavid L Hunt
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1194801720
PECOS PAC ID: 2264434240
Enrollment ID: I20070203000097
Provider NameSalvator Musumeci
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1003814088
PECOS PAC ID: 5991805657
Enrollment ID: I20070710000637
Provider NameRuben E Carlson
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1881658565
PECOS PAC ID: 6103806534
Enrollment ID: I20080115000644
Provider NameBaotram T Tran
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1295920643
PECOS PAC ID: 0941373799
Enrollment ID: I20080726000118
Provider NameTrudy K Ramjattan
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1730261967
PECOS PAC ID: 9133295876
Enrollment ID: I20080904000253
Provider NameChristine W Hair
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1164565289
PECOS PAC ID: 4486719580
Enrollment ID: I20090224000159
Provider NameMark D Oberlander
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1245292176
PECOS PAC ID: 8527193473
Enrollment ID: I20100317000115
Provider NameJohn B Wachter
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770551129
PECOS PAC ID: 5092618777
Enrollment ID: I20100317000177
Provider NamePaul Day
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265634224
PECOS PAC ID: 5799810495
Enrollment ID: I20100319000719
Provider NameJulie Owens
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1750364063
PECOS PAC ID: 5294921417
Enrollment ID: I20101130000218
Provider NameNandesh N Patel
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1821292228
PECOS PAC ID: 3173797784
Enrollment ID: I20111116000907
Provider NameMitchell R Petit
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184628547
PECOS PAC ID: 4183885064
Enrollment ID: I20120420000166
Provider NameCarli A Ruckman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1891075578
PECOS PAC ID: 4880850155
Enrollment ID: I20120801000232
Provider NameMichele Mclin
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1407103542
PECOS PAC ID: 0941459143
Enrollment ID: I20121003000562
Provider NameVictoria Haines
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447365085
PECOS PAC ID: 1850519224
Enrollment ID: I20140826002516
Provider NameSheryl Reaves
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1023301280
PECOS PAC ID: 7315194826
Enrollment ID: I20150213000305
Provider NameAddison P Dimartino
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1083963466
PECOS PAC ID: 9739330770
Enrollment ID: I20150723008239
Provider NameKimberly M Chaney
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1427362359
PECOS PAC ID: 9830319367
Enrollment ID: I20150916001481
Provider NameAmanda E Geary
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1780069591
PECOS PAC ID: 5799093910
Enrollment ID: I20151007001721
Provider NameStephanie D'orazio-brafman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1811372279
PECOS PAC ID: 6406156678
Enrollment ID: I20151120000823
Provider NameVinita Srivastava
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1720370034
PECOS PAC ID: 5597077461
Enrollment ID: I20160414001702
Provider NameFayssal El-jabali
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1629199096
PECOS PAC ID: 0547424822
Enrollment ID: I20160426001423
Provider NameCourtney E Bovee
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1427346683
PECOS PAC ID: 8426362088
Enrollment ID: I20160512000925
Provider NameTonya Kohler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568755361
PECOS PAC ID: 8527353614
Enrollment ID: I20160829002875
Provider NameAdam Furman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336541465
PECOS PAC ID: 7810270865
Enrollment ID: I20170216002543
Provider NameMegan Furman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548707334
PECOS PAC ID: 1850661497
Enrollment ID: I20170714000832
Provider NameMarielle Alcantara
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1336590033
PECOS PAC ID: 1850665985
Enrollment ID: I20170927004119
Provider NameFrances Jacinto Acosta
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1770826745
PECOS PAC ID: 1658503636
Enrollment ID: I20180710000559
Provider NameErin L Greenberg
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1477948883
PECOS PAC ID: 0042546442
Enrollment ID: I20190723002358
Provider NameRobert Sharek
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1255445912
PECOS PAC ID: 2365745114
Enrollment ID: I20200324000758
Provider NameAmy Ruzicka
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1508368556
PECOS PAC ID: 8022372887
Enrollment ID: I20200511001157
Provider NameCarlos Naguib
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003475096
PECOS PAC ID: 9436571700
Enrollment ID: I20200616000908
Provider NameTiffanie Crisi
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1679199822
PECOS PAC ID: 2668892829
Enrollment ID: I20201009000873
Provider NameAngelica Jones
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104418490
PECOS PAC ID: 9234545583
Enrollment ID: I20210310002695
Provider NameFikret Kajoshaj
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1265870448
PECOS PAC ID: 3779705678
Enrollment ID: I20210721000697
Provider NameAnita Nguyen
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1306420161
PECOS PAC ID: 9638565757
Enrollment ID: I20220329002148
Provider NameBilal Shaukat
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1154777886
PECOS PAC ID: 6800160680
Enrollment ID: I20220516002322
Provider NameLori Rothman
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1326164583
PECOS PAC ID: 1052417003
Enrollment ID: I20220927003990
Provider NameMichelle Ketcher
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1942908512
PECOS PAC ID: 8224401518
Enrollment ID: I20230307003337
Provider NameBonnie M Wessler
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1861912461
PECOS PAC ID: 5890068621
Enrollment ID: I20230316002972
Provider NamePeter Edward Carra
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1417148255
PECOS PAC ID: 3173885308
Enrollment ID: I20230421001496
Provider NameTesia Reed
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1104388800
PECOS PAC ID: 4981023124
Enrollment ID: I20231031001306
Provider NameMeritza Kluge
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1134450752
PECOS PAC ID: 6608901525
Enrollment ID: I20231108001761
Provider NameMichael Gitchel
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1033412341
PECOS PAC ID: 4183006521
Enrollment ID: I20240116001501
Provider NameMarie Bisconti
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1770922692
PECOS PAC ID: 1658652540
Enrollment ID: I20240319003985
Provider NameDominic A Prado
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1649808437
PECOS PAC ID: 4385066570
Enrollment ID: I20240610000764
Provider NameMikaila M Gallagher
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1457109597
PECOS PAC ID: 6002350394
Enrollment ID: I20240627001668
Provider NameCasey A Lanier
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1447060884
PECOS PAC ID: 5991235384
Enrollment ID: I20250214001482

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southeast Eye Institute, Pa is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Southeast Eye Institute, Pa
9375 66th St N,
Pinellas Park, FL 33782-4418

Ph: (727) 541-4469		Southeast Eye Institute, Pa
9375 66th St,
Pinellas Park, FL 33782-4418

Ph: (727) 541-4469

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.