PELICAN PLAZA OPTICAL (NPI# 1023295763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023295763 |
| Entity Type | Organization |
| Organization Name | PELICAN PLAZA OPTICAL |
| Practice Address |
8390 S Tamiami Trl Sarasota FL 34238-2934 |
| Practice Telephone | 9419661559 |
| Practice Fax Number | 9419661559 |
| Mailing Telephone | 9419661559 |
| Mailing Fax Number | 9419661559 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-03-24 |
| Authorized Official Name | MR. JOHN GRONDAHL (OPTICIAN/OWNER) |
| Authorized Official Telephone | 9419661559 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 335E00000X | Prosthetic/Orthotic Supplier | 3259 | FL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 3259 | FL | Suppliers |
| Street Address |
8390 S TAMIAMI TRL |
| City | SARASOTA |
| State | FL |
| Zip Code | 34238-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396257168 | Strickland Family Dentistry | Clinic/Center | 8551 S. Tamiami Trail, Sarasota, FL 34238 | 2017-11-01 |
| 1043734031 | Michael Roy Guralnik | Acupuncturist | 6213 Weymouth Dr, Sarasota, FL 34238 | 2017-08-01 |
| 1275991424 | James Orr | Physical Therapist | 5581 Rand Blvd, Sarasota, FL 34238 | 2016-02-03 |
| 1760848527 | Krause Dental | Dentist | 7208 Beneva Road South, Sarasota, FL 34238 | 2016-01-11 |
| 1720467632 | Marco Antunez | Physical Therapy Assistant | 4954 Oldham St, Sarasota, FL 34238 | 2015-05-26 |
| 1629403506 | Multi-task Genie, LLC Dba Allied Pro-health Care | Nursing Care | 8620 S Tamiami Trail, Suite D, Sarasota, FL 34238 | 2013-09-10 |
| 1831443597 | Jessica Thomason | Pharmacist | 8201 South Tamiami Trail, Sarasota, FL 34238 | 2012-11-02 |
| 1164772521 | Eucarice X Richmond | Physical Therapy Assistant | 5111 Palmer Ranch Parkway, Sarasota, FL 34238 | 2012-09-13 |
| 1306194907 | Intellihealth, LLC | Social Worker | 6228 Donnington Ct, Sarasota, FL 34238 | 2012-08-29 |
| 1366706046 | Costco Wholesale Corporation | Pharmacy | 8201 S Tamiami Trl Unit 501, Sarasota, FL 34238 | 2012-06-27 |
| Find all providers in zip 34238 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215560107 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 501 N Beneva Rd Ste 161, Sarasota, FL 34232-1301 | 2020-02-19 |
| 1396394409 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 3428 Clark Rd, Sarasota, FL 34231-8406 | 2019-09-11 |
| 1578023198 | On-point Medical Alliance LLC | Durable Medical Equipment & Medical Supplies | 6637 Superior Ave Ste A, Sarasota, FL 34231-5858 | 2019-03-20 |
| 1255809539 | New Level 3 | Durable Medical Equipment & Medical Supplies | 6623 Superior Ave Ste D, Sarasota, FL 34231-5801 | 2018-11-05 |
| 1235648346 | George S. Yatros Dental Sleep, LLC | Durable Medical Equipment & Medical Supplies | 2170 Main St Ste 301, Sarasota, FL 34237-6040 | 2017-09-21 |
| 1346698545 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5401 Palmer Crossing Cir, Sarasota, FL 34233-3208 | 2016-05-27 |
| 1114384187 | Sarasota Discount Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 110 N Lime Ave, Sarasota, FL 34237-6122 | 2016-01-21 |
| 1598122624 | Alpha & Omega Medical LLC | Durable Medical Equipment & Medical Supplies | 2123 Porter Lake Dr Unit B, Sarasota, FL 34240-8854 | 2016-01-20 |
| 1154798809 | Southern Ortho & Spine Bracing, LLC | Durable Medical Equipment & Medical Supplies | 4937 Clark Rd Ste 201, Sarasota, FL 34233-3252 | 2015-08-28 |
| 1598171985 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 3560 Bee Ridge Rd, Sarasota, FL 34239-7233 | 2014-07-07 |
| Find all providers in SARASOTA | ||||
Please comment or provide details below to improve the information on PELICAN PLAZA OPTICAL.
| 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.