EYE DOCTORS OPTICAL OUTLETS PA (NPI# 1043401938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043401938 |
| Entity Type | Organization |
| Organization Name | EYE DOCTORS OPTICAL OUTLETS PA |
| Practice Address |
762 Eagle Ridge Dr Lake Wales FL 33859-4740 |
| Mailing Address |
5607 Johns Rd Tampa FL 33634-4317 |
| Practice Telephone | 8138853937 |
| Mailing Telephone | 8138853937 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2008-05-07 |
| Authorized Official Name | DR. ROBERT LEWENSON (OWNER) |
| Authorized Official Telephone | 8138853937 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 620937809 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184174278 | Eye Doctors Optical Outlets Pa | Optometrist | 11290 Park Blvd, Ste B, Seminole, FL 33772-4865 | 2016-10-12 |
| 1215358833 | Eye Doctors Optical Outlets Pa | Optometrist | 6927 4th St N, St Petersburg, FL 33702-6846 | 2013-12-27 |
| 1902097306 | Eye Doctors Optical Outlets Pa | Eyewear Supplier (Equipment, not the service) | 883 E Bloomingdale Ave, Brandon, FL 33511-8113 | 2007-08-09 |
| 1457542854 | Eye Doctors Optical Outlets Pa | Optometrist | 6300 N Wickham Rd Ste 131, Melbourne, FL 32940-2023 | 2007-08-09 |
| 1376734772 | Eye Doctors Optical Outlets Pa | Optometrist | 937 Brandon Town Center Mall, Brandon, FL 33511-4943 | 2007-08-09 |
| 1811188725 | Eye Doctors Optical Outlets Pa | Optometrist | 574 N Hwy 441, Lady Lake, FL 32159-3776 | 2007-08-06 |
| 1790976785 | Eye Doctors Optical Outlets Pa | Optometrist | 710 34th St N, St Petersburg, FL 33713-6538 | 2007-08-06 |
| 1700077781 | Eye Doctors Optical Outlets Pa | Optometrist | 3740 Park Blvd, Pinellas Park, FL 33781-3611 | 2007-08-06 |
| 1013108919 | Eye Doctors Optical Outlets Pa | Optometrist | 3654 Harden Blvd, Lakeland, FL 33803-5968 | 2007-08-06 |
| 1740471788 | Eye Doctors Optical Outlets Pa | Optometrist | 4848 Tamiami Trl, Sarasota, FL 34231-4352 | 2007-08-06 |
| Street Address |
762 EAGLE RIDGE DR |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33859-4740 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063576171 | Arlese Charlette Olson | Optometrist | 762 Eagle Ridge Dr, Lake Wales, FL 33859-4740 | 2006-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740699982 | Pm Radiology P L | Radiology | 23607 Us Highway 27, Lake Wales, FL 33859 | 2014-08-12 |
| 1588990758 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 2800 A Ridge Way, Suite 100, Lake Wales, FL 33859 | 2009-10-23 |
| 1841583929 | Marcus Anthony Jahna | Chiropractor | 23857 Hwy 27, Lake Wales, FL 33859-0000 | 2011-05-23 |
| 1114439866 | Michelle Lora Mendez | Early Intervention Provider Agency | 4360 Dinner Lake Blvd, Lake Wales, FL 33859-2129 | 2017-11-02 |
| 1245506013 | Barbara Louise Collette | Pharmacist | 217 Dinner Lake Loop, Lake Wales, Lake Wales, FL 33859-2153 | 2012-03-27 |
| 1558434852 | Yesenia Dejesus-suarez | Nurse Anesthetist, Certified Registered | 205 Dinner Lake Loop, Lake Wales, FL 33859-2153 | 2006-11-16 |
| 1164021176 | Dave Aaron Dangan | Physical Therapist | 1750 Longleaf Blvd Ste 5&6, Lake Wales, FL 33859-2504 | 2020-10-21 |
| 1144855933 | Sandra Collins Domanski | Physical Therapist | 1750 Longleaf Blvd # 5&6, Lake Wales, FL 33859-2504 | 2020-03-11 |
| 1437394541 | Central Florida Health Systems, Inc | Specialist | 2301 Longleaf Blvd Ste 200, Lake Wales, FL 33859-2542 | 2008-12-04 |
| 1639303688 | U.S. Home Health Care Services, Corp | Home Health | 14440 Us Highway 27, Lake Wales, FL 33859-2546 | 2009-05-06 |
| Find all providers in zip 33859 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669660346 | Julia R King | Optometrist | 2800 A Ridge Way, Suite 100, Lake Wales, FL 33859-7762 | 2007-10-09 |
| 1124234612 | Family Vision Services, P.a. | Optometrist | 301 Eagle Ridge Dr, Lake Wales, FL 33859-4751 | 2007-05-14 |
| 1063576171 | Arlese Charlette Olson | Optometrist | 762 Eagle Ridge Dr, Lake Wales, FL 33859-4740 | 2006-12-21 |
| 1649381708 | Richard S Miller | Optometrist | 2000 Sr 60 East, Lake Wales, FL 33898-5182 | 2006-08-31 |
| 1144201385 | Willard C Pearce Jr Od Pa | Optometrist | 254 E Stuart Ave, Lake Wales, FL 33853-5720 | 2005-11-07 |
| 1396277141 | Myeyedr. Optometry of Florida, LLC | Optometrist | 254 E Stuart Ave, Lake Wales, FL 33853-5720 | 2017-03-31 |
| 1386832905 | Willard Cail Pearce II | Optometrist | 1611 State Road 60 E, Lake Wales, FL 33853-4309 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
| 1376142828 | Edyta H Bogusz | Optometrist | 13073 Overstreet Rd, Windermere, FL 34786-6602 | 2020-10-25 |
| 1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
| 1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
| 1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
| 1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
| 1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33859 |
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| 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.