DR. BRADY P. HANLON (NPI# 1114914017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114914017 |
| Entity Type | Individual |
| Full Name | DR. BRADY P. HANLON |
| Credential | O.D. |
| Practice Address |
1607 Saint James Ct Tallahassee FL 32308-5352 |
| Practice Telephone | 8508780191 |
| Practice Fax Number | 8508788900 |
| Mailing Telephone | 8508780191 |
| Mailing Fax Number | 8508788900 |
| Enumeration Date | 2005-10-05 |
| Last Update Date | 2012-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 18003296A | IN | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM BCBS | 000000368674 | 01 |
| IN | DAVIS VISION | 003 | 01 |
| IN | MOLINA | 200517920 | 01 |
| IN | 200517920 | 05 | |
| IN | HARMONY HEALTH | 200517920 | 01 |
| IN | MANAGED HEALTH SERVICES | 200517920 | 01 |
| IN | CORESOURCE | 200517920 | 01 |
| IN | DMERC | 0356760001 | 01 |
| Street Address |
1607 SAINT JAMES CT |
| City | TALLAHASSEE |
| State | FL |
| Zip Code | 32308-5352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386260487 | Sarah Marie Anderson | Nurse Practitioner | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2020-06-24 |
| 1003394198 | Janine Jones | Nurse Practitioner | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2018-08-01 |
| 1548613722 | Liesl Amon | Optometrist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2016-07-22 |
| 1801276829 | Donnie Ray Johnson Jr. | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2015-06-04 |
| 1093104234 | Katina Jackson | Social Worker | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2015-01-12 |
| 1235569914 | Tania Theresa Mcmillan | Registered Nurse | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2013-11-18 |
| 1669810776 | Christina Mui Ngo | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2013-06-11 |
| 1033454178 | Tiffany Necole Thomas | Licensed Practical Nurse | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2012-11-30 |
| 1841534419 | Laurie Beth Pavlov | Dietitian, Registered | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2012-11-20 |
| 1801149893 | Jennifer Welding | Pharmacist | 1607 Saint James Ct, Tallahassee, FL 32308-5352 | 2012-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215588306 | Jmc Tallahassee, LLC | Preventive Medicine | 1838 Jacliff Court, Tallahassee, FL 32308 | 2019-09-20 |
| 1972165108 | Covenant Home Health Care, LLC | Home Health | 1921 Capital Circle Ne, Tallahassee, FL 32308 | 2019-07-09 |
| 1548735798 | North Florida Rehab Solutions | Hospitalist | 1675 Riggins Road, Dr Steele Lancaster, Tallahassee, FL 32308 | 2018-10-03 |
| 1013491596 | Injury and Rehab Centers of North Florida, LLC | Neuromusculoskeletal Medicine & OMM | 2268 Wednesday Street, Tallahassee, Florida, FL 32308 | 2018-09-20 |
| 1487133625 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2634 Capital Circle Ne, Building C, Suite 156, Tallahassee, FL 32308 | 2018-08-08 |
| 1629566724 | Total Health & Wellness Home Care, LLC | Home Health | 1325 Mahan Dr., Tallahassee, FL 32308 | 2018-04-25 |
| 1669979480 | Beth North, Lcsw, LLC | Social Worker | 1325 Mahan Drive, Tallahassee, FL 32308 | 2018-04-09 |
| 1750885919 | Robert E Ashmore Jr Md | Obstetrics & Gynecology | 2770 Capitol Medical Blvd, Suite 100, Tallahassee, FL 32308 | 2018-03-22 |
| 1225547243 | William Michael Kunkle | Physician Assistant | 4004 Norton Ln, Suite 101, Tallahassee, FL 32308 | 2017-09-21 |
| 1235657834 | Traci R Raybon | Occupational Therapist | 1924 Hidden Valley, Tallahassee, FL 32308 | 2017-09-03 |
| Find all providers in zip 32308 | ||||
| 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 |
|---|---|---|---|---|
| 1245750058 | Susan S Whaley Od LLC | Optometrist | 2858 Mahan Dr Ste 4, Tallahassee, FL 32308-5472 | 2017-06-22 |
| 1346607819 | Daniel & Max, LLC | Optometrist | 214 South Magnolia Dr, Suite 100, Tallahassee, FL 32301 | 2016-01-28 |
| 1962603571 | Drs Walker & Taylor Pa | Optometrist | 547-a North Monroe Street, Tallahassee, FL 32301-0619 | 2007-05-30 |
| 1942429212 | Howard M Moody | Optometrist | 1881a Northwood Center Blvd, Tallahassee, FL 32303-4777 | 2007-04-25 |
| 1902937063 | John Marion Wells Jr. | Optometrist | 235 John Knox Rd, Tallahassee, FL 32303-6676 | 2007-03-08 |
| 1730220245 | Frederick F Flink | Optometrist | 3499 Thomasville Rd, Suite 3, Tallahassee, FL 32309-3425 | 2007-02-08 |
| 1336209998 | Robert Orsillo | Optometrist | 1901 Miccosukee Rd, Tallahassee, FL 32308-5321 | 2006-12-12 |
| 1306907860 | Paul L. Harman | Optometrist | 1433 E Lafayette St, Tallahassee, FL 32301-4747 | 2006-12-12 |
| 1942378807 | Peter Favreau Hughes | Optometrist | 1535 Centerville Rd, Tallahassee, FL 32308-4605 | 2006-11-30 |
| 1871660332 | Julian R Alford Jr. | Optometrist | 1368 E Call St, Tallahassee, FL 32301-2804 | 2006-11-29 |
| Find all providers in TALLAHASSEE | ||||
| City | TALLAHASSEE |
| Zip Code | 32308 |
Please comment or provide details below to improve the information on DR. BRADY P. HANLON.
| 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.