OPTOMETRY GROUP ENTERPRISES, PC (NPI# 1104968338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104968338 |
| Entity Type | Organization |
| Organization Name | OPTOMETRY GROUP ENTERPRISES, PC |
| Other Organization Name | OPTOMETRY GROUP |
| Practice Address |
2961 Canada Rd Suite 104 Lakeland TN 38002-4893 |
| Practice Telephone | 9013802020 |
| Practice Fax Number | 9013802809 |
| Mailing Telephone | 9013802020 |
| Mailing Fax Number | 9013802809 |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2012-07-19 |
| Authorized Official Name | DR. BART L. POWELL (OWNER-DOCTOR) |
| Authorized Official Telephone | 9013802020 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | ODT 1585 | TN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3940102 | 05 |
| Other Name | Type Code |
|---|---|
| Optometry Group | Doing Business As Name - Organization |
| Street Address |
2961 CANADA RD SUITE 104 |
| City | LAKELAND |
| State | TN |
| Zip Code | 38002-4893 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164572285 | Barton L. Powell | Optometrist | 2961 Canada Rd, Ste 104, Lakeland, TN 38002-4893 | 2007-01-11 |
| 1366785677 | Danielle Jaworski Howell | Nurse Practitioner | 2961 Canada Rd, Suite 105, Lakeland, TN 38002-4893 | 2013-04-04 |
| 1093016651 | Primary Care Group LLC | Internal Medicine | 2961 Canada Rd, Ste 105, Lakeland, TN 38002-4893 | 2010-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649836636 | Sunshine and Smiles, LLC. | Home Health | 160 Hidden Lake Cove, Arlington, TN 38002 | 2019-05-15 |
| 1679050934 | Alisha James-scott | Nurse Practitioner | 9025 Us-64, Lakeland, TN 38002 | 2018-07-19 |
| 1720577513 | Heavenly Senior Transport Services LLC | Non-emergency Medical Transport (VAN) | 5995 Garret Valley Ln, Arlington, TN 38002 | 2018-05-07 |
| 1962915959 | Southern Dental of Brunswick Pllc | Dentist | 8755 Chaffee Road, Suite 103, Arlington, TN 38002 | 2017-11-13 |
| 1346750619 | Heath Bryan Coleman, Dds of Tennessee II, Pllc | Dentist | 5226 Airline Rd, 121, Arlington, TN 38002 | 2017-10-02 |
| 1528577210 | Celia Mae Noble | Speech-Language Pathologist | 5940 Griffin Rd, Arlington, TN 38002 | 2017-09-25 |
| 1568996064 | Joshua Davis Bravo | Physical Therapist | 5226 Airline Rd Ste 131, Arlington, TN 38002 | 2017-04-12 |
| 1952773053 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11003 Highway 70, Arlington, TN 38002 | 2015-10-28 |
| 1124490222 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11443 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| 1245602341 | West Tennessee Community Homes | Intermediate Care Facility, Mentally Retarded | 11455 Arlington Woods Cove, Arlington, TN 38002 | 2015-10-28 |
| Find all providers in zip 38002 | ||||
| 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 |
|---|---|---|---|---|
| 1437798832 | Ayana Pierre | Optometrist | 4121 Us Highway 98 N # A140, Lakeland, FL 33809-3818 | 2020-01-02 |
| 1306408075 | Refractionistas | Optometrist | 1400 S Florida Ave, Lakeland, FL 33803-2257 | 2019-07-02 |
| 1730674102 | Robin Kalloor Thomas | Optometrist | 5319 Kinsley Ln, Lakeland, FL 33812-3824 | 2018-06-27 |
| 1780109082 | Eye See Solutions | Optometrist | 867 Hanover Way, Lakeland, FL 33813-2676 | 2017-08-08 |
| 1912241530 | Lakeland Eye Clinic, Pa | Optometrist | 6743 Us Highway 98 N, Lakeland, FL 33809-6226 | 2012-11-20 |
| 1013108919 | Eye Doctors Optical Outlets Pa | Optometrist | 3654 Harden Blvd, Lakeland, FL 33803-5968 | 2007-08-06 |
| 1679764617 | Eye Doctors Optical Outlets Pa | Optometrist | 4121 Us Highway 98 N, #a-140, Lakeland, FL 33809-3818 | 2007-08-06 |
| 1164572285 | Barton L. Powell | Optometrist | 2961 Canada Rd, Ste 104, Lakeland, TN 38002-4893 | 2007-01-11 |
| 1982792412 | Alan P Fisher | Optometrist | 2025 E Edgewood Dr, Lakeland, FL 33803-3601 | 2006-10-10 |
| 1134212145 | Stuart Kent Harrell | Optometrist | 2004 Cr 540-a, Lakeland, FL 33813 | 2006-10-02 |
| Find all providers in LAKELAND | ||||
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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.