Provider Demographics
NPI:1033264361
Name:ORION T. AYER JR. MD PA
Entity Type:Organization
Organization Name:ORION T. AYER JR. MD PA
Other - Org Name:THE RETINA INSITUTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MISS
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:TIMBALOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-894-3937
Mailing Address - Street 1:PO DRAWER 16007
Mailing Address - Street 2:
Mailing Address - City:ST. PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33733
Mailing Address - Country:US
Mailing Address - Phone:727-894-3937
Mailing Address - Fax:727-821-0771
Practice Address - Street 1:1955 1ST AVE N
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33713-8941
Practice Address - Country:US
Practice Address - Phone:727-894-3937
Practice Address - Fax:727-821-0771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0034930207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLK4078Medicare PIN