EYE-SITE OF BOYNTON BEACH (NPI# 1003280306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003280306 |
| Entity Type | Organization |
| Organization Name | EYE-SITE OF BOYNTON BEACH |
| Practice Address |
6641 W Boynton Beach Blvd Boynton Beach FL 33437-3527 |
| Mailing Address |
6641 W Boynton Beach Blvd Boynton Beach FL 33437 |
| Practice Telephone | 5617380111 |
| Practice Fax Number | 5617359359 |
| Mailing Telephone | 5617380111 |
| Mailing Fax Number | 5617359359 |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2015-11-24 |
| Authorized Official Name | MR. DAVID MILES THOMAS (OWNER) |
| Authorized Official Telephone | 5617380111 |
| Authorized Official Credential | L.D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 5095 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA OPTICIANS | 5095 | 01 |
| Street Address |
6641 W BOYNTON BEACH BLVD |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33437-3527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376504258 | Rosalyn Misdraji | Optometrist | 6641 W Boynton Beach Blvd, Boynton Beach, FL 33437-3527 | 2006-03-30 |
| 1023651296 | Heg Business Management LLC | Optometrist | 6641 W Boynton Beach Blvd, Boynton Beach, FL 33437-3527 | 2019-10-21 |
| 1477030450 | Hannah Elizabeth Garlick | Optometrist | 6641 W Boynton Beach Blvd, Boynton Beach, FL 33437 | 2018-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548800808 | Ortho Florida, LLC | Anesthesiology | 11135 S Jog Road Ste 5, Boynton Beach, FL 33437 | 2020-01-14 |
| 1730725086 | Uttamkumar Sheladiya | Pharmacist | 12080 South Jog Rod, Boyton Beach, FL 33437 | 2019-11-21 |
| 1831601608 | Sheri Keehn | Nurse Practitioner | 6713 Conch Ct, Boynton Beach, FL 33437 | 2017-11-01 |
| 1265958037 | Kiersten Lutchi | Behavior Technician | 7862 Red Mahogany Road, Boynton Beach, FL 33437 | 2017-08-14 |
| 1740725084 | Marie Maxi | Behavior Technician | 6713 Heritage Grande, 1206, Boynton Beach, FL 33437 | 2016-12-22 |
| 1184071623 | Darronique Johnson | Technician, Other | 10779 Cambay Cr., Boynton Beach, FL 33437 | 2016-05-14 |
| 1033580709 | Brett R. Hutton, M.d., P.a. | Internal Medicine | 10301 Hagen Ranch Rd Ste B550, Boynton Beach, FL 33437 | 2015-10-07 |
| 1104258417 | Domenick Andrew Cerullo | Dentist | 10150 Hagen Ranch Road Suite 202, Dental Arts of Boynton Beach, P.a., Boynton Beach, FL 33437 | 2013-08-09 |
| 1275883399 | Kate A Vazquez | Physician Assistant | 7593 Boynton Beach Blvd Ste 190, Boynton Beach, FL 33437 | 2012-09-17 |
| 1912256009 | Kristi Joy Kline | Physical Therapist | 11135 South Jog Road, Suite 1, Boynton Beach, FL 33437 | 2012-09-05 |
| Find all providers in zip 33437 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766334 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1540 W Boynton Beach Blvd, Boynton Beach, FL 33436-4606 | 2020-09-25 |
| 1093895930 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 701 North Congress Avenue, Boynton Beach, FL 33426 | 2006-10-16 |
| 1972514396 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 801 N Congress Ave, Boynton Beach, FL 33426-3315 | 2006-08-10 |
| 1164709200 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 701 N Congress Ave, Suite 2, Boynton Beach, FL 33426-3471 | 2011-11-03 |
| 1134457948 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 1000 N Congress Ave, Boynton Town Ctr, Boynton Beach, FL 33426-3338 | 2009-12-07 |
| 1417180282 | Marc S.flesher O.d. P.a. | Eyewear Supplier (Equipment, not the service) | 2244 N Congress Ave, Boynton Beach, FL 33426-8604 | 2009-08-27 |
| 1578735379 | Maged S. Habib, M.d. P.a. | Eyewear Supplier (Equipment, not the service) | 2300 S Congress Ave, Suite 102, Boynton Beach, FL 33426-7400 | 2008-04-01 |
| 1326216060 | Stephen M. Robins, Md, Pa | Eyewear Supplier (Equipment, not the service) | 3717 W Boynton Beach Blvd, Suite 7, Boynton Beach, FL 33436-4540 | 2008-02-15 |
| 1891972196 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1000 N Congress Ave, Boynton Town Ctr, Boynton Beach, FL 33426-3338 | 2008-01-29 |
| 1548313497 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1540 W Boynton Beach Blvd, Boynton Beach, FL 33436 | 2007-01-22 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33437 |
Please comment or provide details below to improve the information on EYE-SITE OF BOYNTON BEACH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.