DR. MICHAEL TIBBETTS (NPI# 1245468404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245468404 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL TIBBETTS |
| Credential | MD |
| Practice Address |
4120 Del Prado Blvd S Cape Coral FL 33904-7165 |
| Mailing Address |
P.o. Box 101468 Cape Coral FL 33910-1468 |
| Practice Telephone | 2395422020 |
| Practice Fax Number | 2395411492 |
| Mailing Telephone | 2395422020 |
| Mailing Fax Number | 2395411492 |
| Enumeration Date | 2009-06-26 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | ME115062 | FL | Other Service Providers |
| Y | 207W00000X | Ophthalmology | ME115062 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
4120 DEL PRADO BLVD S |
| City | CAPE CORAL |
| State | FL |
| Zip Code | 33904-7165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508857491 | Farrell C Tyson II | Ophthalmology | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2005-10-31 |
| 1134549967 | John David Stephens | Ophthalmology | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2014-04-19 |
| 1376553925 | Cape Coral Eye Center, P.a. | Clinic/Center | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2006-08-08 |
| 1497790455 | John T Patrick | Specialist | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2006-06-16 |
| 1790776219 | Stuart I Kaplan | Optometrist | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2005-11-03 |
| 1467443911 | Benjamin G Martin | Optometrist | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2005-11-03 |
| 1740271519 | Janice I Birr | Optometrist | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356835698 | Wendy Reyes Perez | Behavioral Analyst | 326 Se 31st St, Cape Coral, FL 33904 | 2018-06-20 |
| 1669923488 | Tcm Quality Services, Inc | Case Management | 2804 Del Prado Blvd, # 209 Suite 3, Cape Coral, FL 33904 | 2016-10-17 |
| 1851766471 | Malissa Maki | Social Worker | 3723a Delprado Blvd, Cape Coral, FL 33904 | 2015-12-08 |
| 1942688767 | Physicians Services and Rehab Inc | Physical Medicine & Rehabilitation | 506 Se 47th Terr Suite B, Cape Coral, FL 33904 | 2015-05-13 |
| 1790184356 | Rx Imaging of Swfl, LLC | Family Medicine | 506 Se 47th St Suite A, Cape Coral, FL 33904 | 2014-08-20 |
| 1508205634 | Brandy Williams | Counselor | 3723 A Del Prado Blvd S, Cape Coral, FL 33904 | 2013-06-21 |
| 1295002608 | Jcs Home Health, Inc. | Home Health | 1505 Se 40th St., Ste. C, Cape Coral, FL 33904 | 2011-11-30 |
| 1477835551 | Thomas Dare | Occupational Therapist | 4129 Se 2nd Ave., Cape Coral, FL 33904 | 2011-09-14 |
| 1134422173 | Michelle L Mandich | Massage Therapist | 3636 Del Prado Blvd S., Cape Coral, FL 33904 | 2010-12-14 |
| 1770807059 | Professional Nurses Registry | Nursing Care | 875 Se 47th Terr., Suite 1, Cape Coral, FL 33904 | 2010-03-16 |
| Find all providers in zip 33904 | ||||
| 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 |
|---|---|---|---|---|
| 1457400640 | Jonathan M Frantz, Md Pa | Ophthalmology | 3515 Del Prado Blvd, Unit 104, Cape Coral, FL 33904-7289 | 2007-01-09 |
| 1295799849 | James Everett Croley IIi | Ophthalmology | 613 Del Prado Blvd S, Cape Coral, FL 33990-2611 | 2006-04-12 |
| 1508857491 | Farrell C Tyson II | Ophthalmology | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2005-10-31 |
| 1134549967 | John David Stephens | Ophthalmology | 4120 Del Prado Blvd S, Cape Coral, FL 33904-7165 | 2014-04-19 |
| 1851576706 | Beehler, Ihns, & Smith, Inc | Ophthalmology | 1224 Del Prado Blvd S, Cape Coral, FL 33990-3686 | 2008-01-09 |
| 1740344662 | Eye Site of Cape Coral Pa | Ophthalmology | 613 Del Prado Blvd S, Cape Coral, FL 33990-2611 | 2006-12-22 |
| 1548337769 | Southwest Florida Eye Care, L.L.C. | Ophthalmology | 2221 Santa Barbara Blvd, Suite 107, Cape Coral, FL 33991-4318 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | CAPE CORAL |
| Zip Code | 33904 |
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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.