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Contact Information

LIGHTHOUSE OF PINELLAS INC
6925 112TH CIR
LARGO, FL33773-5200
 Phone: 727-544-4433
 Fax: 727-544-5511
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for LIGHTHOUSE OF PINELLAS INC

NPI # 1801858071
LBN Legal business name LIGHTHOUSE OF PINELLAS INC
Authorized official DANIEL MANN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/04/2006
Last updated 06/09/2016 - About 10 years ago
Identifiers
FL Medicaid 880145200
FL Medicaid 880147900
FL Medicaid 882356100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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