Provider Demographics
NPI:1093745887
Name:LAPLUME, JEFFERY D (OD)
Entity Type:Individual
Prefix:DR
First Name:JEFFERY
Middle Name:D
Last Name:LAPLUME
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 E BAY DR STE G
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33770-2553
Mailing Address - Country:US
Mailing Address - Phone:727-584-1893
Mailing Address - Fax:
Practice Address - Street 1:800 E BAY DR STE G
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33770-2553
Practice Address - Country:US
Practice Address - Phone:727-584-1893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-04
Last Update Date:2023-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2604152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020712200Medicaid
FL20387ZMedicare PIN