LEAH WIEDEMAMN (NPI# 1073910386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073910386 |
| Entity Type | Individual |
| Full Name | LEAH WIEDEMAMN |
| Credential | O.D. |
| Practice Address |
716 N Halifax Ave Apt 9 Daytona Beach FL 32118-3852 |
| Mailing Address |
716 N Halifax Ave Apt 13 Daytona Beach FL 32118-3856 |
| Practice Telephone | 3145830324 |
| Mailing Telephone | 3145830324 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2015-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2014021357 | MO | Eye and Vision Services Providers |
| Street Address |
716 N HALIFAX AVE APT 9 |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 32118-3852 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407476633 | Adel Demetrious | Dentist | 2727 North Atlantic, Ave, Suite 121, Dayton Beach, FL 32118 | 2020-04-17 |
| 1518433804 | Tara James | Nurse Practitioner | 224 Seabreeze Blvd, Daytona Beach, FL 32118 | 2018-10-15 |
| 1760835706 | Barbara Fuller | Early Intervention Provider Agency | 125 Cheshire Rd, Daytona Beach, FL 32118 | 2016-07-14 |
| 1821486457 | Emily Catherine Lounsbury | Nurse Practitioner | 3512 South Atlantic Avenue, Daytona Beach Shores, FL 32118 | 2015-01-06 |
| 1215334370 | Shores Medical Center | Nurse Practitioner | 3512 S Atlantic Blvd, Daytona Beach Shores, FL 32118 | 2014-12-04 |
| 1619305075 | Kimberly Barr Beck-frate | Counselor | 444 Seabreeze Blvd., Integrative Crisis Management, Suite 725, Daytona Beach, FL 32118 | 2013-10-23 |
| 1104190792 | Demetrius Marketing LLC | Dentist | 2570 South Atlantic Ave., Marina Dental Center, Daytona Beach Shores, FL 32118 | 2012-02-29 |
| 1255603189 | A1a Medical | General Practice | 1401 North Atlantic Avenue, Daytona Beach, FL 32118 | 2012-02-08 |
| 1184755654 | David Gaughan | Physical Medicine & Rehabilitation | 3512 S Atlantic Av., Daytona Beach Shores, FL 32118 | 2007-03-08 |
| 1952497612 | Ability Health Services, Inc | Durable Medical Equipment & Medical Supplies | 614 N. Penisula Dr, Daytona Beach, FL 32118 | 2006-10-04 |
| Find all providers in zip 32118 | ||||
| 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 |
|---|---|---|---|---|
| 1518495688 | Whitney Rogers | Optometrist | 2500 W International Speedway Blvd Ste 210, Daytona Beach, FL 32114-8146 | 2017-06-01 |
| 1871046565 | Kyle Bettis | Optometrist | 2254 W International Speedway Blvd, Daytona Beach, FL 32114-1124 | 2016-07-28 |
| 1710110598 | Dr. Joe E.miller II Optometrist Pa | Optometrist | 173 Integra Breeze Ln, Unit#103, Daytona Beach, FL 32117-5589 | 2009-08-27 |
| 1437336856 | Ashley Claire Royce | Optometrist | 3641 South Clyde Morris Blvd Suite 500, Daytona Beach, FL 32724-2357 | 2008-01-28 |
| 1174703979 | Beach Eye Care Inc | Optometrist | 501 Plaza Blvd, Daytona Beach, FL 32118-3014 | 2007-11-08 |
| 1720106750 | Jayeshkumar Patel | Optometrist | 2254 W. International Speedway Blvd., Daytona Beach, FL 32114 | 2007-03-27 |
| 1912024258 | Ronald Francis Baldwin | Optometrist | 2475 W International Speedway Blvd, Suite 100, Daytona Beach, FL 32114-1117 | 2007-03-23 |
| 1255466462 | Philip G Toscano | Optometrist | 301 Glenview Blvd, Daytona Beach, FL 32118-3014 | 2007-02-21 |
| 1326004953 | Christopher Alan Scott | Optometrist | 314 N Segrave St, Daytona Beach, FL 32114-3143 | 2006-04-22 |
| 1396711511 | Richard Seith | Optometrist | 1900 Mason Ave Ste 100, Daytona Beach, FL 32117-5103 | 2006-02-27 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 32118 |
Please comment or provide details below to improve the information on LEAH WIEDEMAMN.
| 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.