THOMAS C. CHURCH M.D., PA (NPI# 1114948387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114948387 |
| Entity Type | Organization |
| Organization Name | THOMAS C. CHURCH M.D., PA |
| Practice Address |
51 Yacht Club Dr Ne Fort Walton Beach FL 32548-4473 |
| Practice Telephone | 8502441157 |
| Mailing Telephone | 8502441157 |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2010-04-12 |
| Authorized Official Name | THOMAS CHURCH (DIRECTOR) |
| Authorized Official Telephone | 8502441157 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME0016848 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
51 YACHT CLUB DR NE |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32548-4473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932718426 | Erica Darby | Pharmacist | Publix, 421 Mary Esther Cut Off, Fort Walton Beach, FL 32548 | 2020-07-30 |
| 1770136681 | Michael Cody Jones | Pharmacist | 251 Miacle Strip Pkwy Se, Fort Walton Beach, FL 32548 | 2019-07-19 |
| 1346714532 | Alison Ann Gould | Occupational Therapy Assistant | Emerald Coast Heath Care, 114 Third St, Fort Walton Beach, FL 32548 | 2019-01-22 |
| 1699217695 | Mayra Lopez | Dentist | Blvd. Gomez Morin #8569, Suite 6a, Juarez, CHIHUAHUA 32548 | 2016-11-08 |
| 1265808455 | Rajiv Tuladhar Dmd Holdings, Pllc | Dentist | 516 Mary Esther Blvd Ste 2, Fort Walton Beach, FL 32548 | 2015-08-11 |
| 1881090702 | Annette Peadro | Behavioral Analyst | 171 Brooks St, Suite 308, Fort Walton Beach, FL 32548 | 2014-11-05 |
| 1790037729 | Julie Bradfield | Counselor | 44 Shell Ave, Fort Walton Beach, FL 32548 | 2012-10-15 |
| 1740559582 | Beth Paula Ritenour | Pharmacist | 414 Mary Esther Cutoff Nw, C, Fort Walton Beach, FL 32548 | 2011-12-23 |
| 1891080867 | Okaloosa County Council On Aging | Home Health | 207 Hospital Drive, Fort Walton Beach, FL 32548 | 2011-06-17 |
| 1649580275 | Sharon Renee Wise | Counselor | 44 Shell Avenue Se, Fort Walton Beach, FL 32548 | 2010-10-17 |
| Find all providers in zip 32548 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184949828 | Omer Gal | Ophthalmology | 348 Miracle Strip Pkwy Sw Ste 38, Fort Walton Beach, FL 32548-5264 | 2010-04-06 |
| 1639377096 | Brian S Planchard | Ophthalmology | 1034 Mar Walt Dr Unit 200, Fort Walton Beach, FL 32547-6637 | 2007-07-06 |
| 1386693489 | Karen Sherrill Stein | Ophthalmology | 906b Mar Walt Dr, Fort Walton Beach, FL 32547-6752 | 2006-05-08 |
| 1629463732 | Julian Vladimirovich Tokarev | Ophthalmology | 1106 Hospital Road, West Building, Fort Walton Beach, FL 32547-6742 | 2015-04-06 |
| 1770745960 | Robert Francis Hofmann | Ophthalmology | 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 | 2008-06-28 |
| 1184637282 | Larry Charles Gabriel | Ophthalmology | 1034 Mar Walt Dr, Ste 200, Fort Walton Beach, FL 32547-6639 | 2006-08-13 |
| 1871542738 | Stein Eye Care, Inc. | Ophthalmology | 906b Mar Walt Dr, Fort Walton Beach, FL 32547-6752 | 2006-05-09 |
| 1669421467 | Emerald Coast Eye Institute LLC | Ophthalmology | 1034 Mar Walt Dr, Suite 200, Fort Walton Beach, FL 32547-6639 | 2006-05-09 |
| 1972567089 | Samuel Poppell | Ophthalmology | 1034 Mar Walt Dr, Suite 200, Fort Walton Beach, FL 32547-6645 | 2006-04-14 |
| 1497730477 | Lealis L Hale | Ophthalmology | 1005 Mar Walt Dr, Ophthalmology Department, Fort Walton Beach, FL 32547-6707 | 2005-12-13 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32548 |
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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.