3D VISION EYE SURGERY CENTER PA (NPI# 1245569508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245569508 |
Entity Type | Organization |
Organization Name | 3D VISION EYE SURGERY CENTER PA |
Other Organization Name | FERST: FLORIDA EYE RESEARCH AND SURGICAL THERAPY INSTITUTE |
Practice Address |
1893 N Clyde Morris Blvd Suite 100 Daytona Beach FL 32117-5535 |
Practice Telephone | 4075903333 |
Practice Fax Number | 3864927500 |
Mailing Telephone | 4075903333 |
Mailing Fax Number | 3864927500 |
Enumeration Date | 2009-12-16 |
Last Update Date | 2009-12-16 |
Authorized Official Name | DR. ALLEN THOMAS JACKSON (DIRECTOR) |
Authorized Official Telephone | 4075903333 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | ME80695 | FL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
DEA | BJ9222376 | 01 |
Other Name | Type Code |
---|---|
FERST: Florida Eye Research and Surgical Therapy Institute | Doing Business As Name - Organization |
Street Address |
1893 N CLYDE MORRIS BLVD SUITE 100 |
City | DAYTONA BEACH |
State | FL |
Zip Code | 32117-5535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659363505 | Yong H Tsai | Internal Medicine | 1893 N Clyde Morris Blvd, Suite 110, Daytona Beach, FL 32117-5535 | 2005-08-17 |
1326580648 | Atlantic Gastroenterology Associates, P.a. | Internal Medicine | 1893 N Clyde Morris Blvd, Daytona Beach, FL 32117-5535 | 2016-11-17 |
1013226273 | Nicole Anctil Meyer | Clinic/Center | 1893 N Clyde Morris Blvd, Daytona Beach, FL 32117-5535 | 2010-10-05 |
1497067797 | Elizabeth Ann Stephenson | Acupuncturist | 1893 N Clyde Morris Blvd, Suite 110, Daytona Beach, FL 32117-5535 | 2010-07-02 |
1013242247 | Brian Jamison Holloway | Massage Therapist | 1893 N Clyde Morris Blvd, Daytona Beach, FL 32117-5535 | 2009-10-06 |
1417148032 | Arthritis Autoimmune and Allergy | Clinic/Center | 1893 N Clyde Morris Blvd, Suite 110, Daytona Beach, FL 32117-5535 | 2007-08-08 |
1346338811 | Aimee Wiener | Nurse Practitioner | 1893 N Clyde Morris Blvd, Suite 110, Daytona Beach, FL 32117-5535 | 2006-10-10 |
1275521221 | Mark Allen Riner | Internal Medicine | 1893 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5535 | 2005-10-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992350409 | Erin Selfridge | Pharmacist | 1500 Beville Rd #300, Daytona Beach, FL 32117 | 2019-08-02 |
1881185494 | Wellspring Health, LLC | Chiropractor | 701 Ridgewood Ave, Holly Hills, FL 32117 | 2018-05-21 |
1780172791 | L & L Db, LLC | Clinic/Center | 1540 Cornerstone Blvd, Suite 100, Daytona Beach, FL 32117 | 2018-04-25 |
1154837789 | Brittany Nikolow | Nurse Practitioner | 1717 N. Clyde Morris, Daytona Beach, FL 32117 | 2017-12-19 |
1205356946 | Alejandro Andre Pabon Rodriguez | Nurse Anesthetist, Certified Registered | Florida Hospital Memorial Medical Center, 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2017-06-23 |
1316492135 | Ann Van Herck | Physical Therapist | 1901 Mason Ave Ste 105, Daytona Beach, FL 32117 | 2016-08-22 |
1952784779 | Kathryn Brenna Copley | Nurse Practitioner | 1890 Lpga Blvd., Daytona Beach, FL 32117 | 2015-06-30 |
1053719559 | Alicia Graham | Case Manager/Care Coordinator | 1570 Megan Bay Circle, Holly Hill, FL 32117 | 2014-12-15 |
1578974440 | Halifax Senior Care Inc | Clinic/Center | 1515 Ridgewood Ave, Suite B, Holly Hill, FL 32117 | 2014-05-14 |
1013345883 | Kist Alf, Inc | Assisted Living Facility | 1516 Carmen Avenue, Daytona Beach, FL 32117 | 2013-10-14 |
Find all providers in zip 32117 |
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 |
---|---|---|---|---|
1225307424 | Robert R. Young, M.d. P.a. | Ophthalmology | 163 E International Speedway Blvd, Daytona Beach, FL 32118-4648 | 2011-12-19 |
1194048488 | Nishita D Patel | Ophthalmology | 517 N Clyde Morris Blvd, Daytona Beach, FL 32114-2323 | 2010-03-01 |
1790863116 | Donald Michael Cardone | Ophthalmology | 517 N. Clyde Morris Blvd., Daytona Beach, FL 32114-2323 | 2006-11-02 |
1235168659 | Suzanne M. Demming | Ophthalmology | 529 Health Blvd, Daytona Beach, FL 32114-1493 | 2006-06-30 |
1932151479 | Allen Thomas Jackson | Ophthalmology | 1201 S Ridgewood Ave, Daytona Beach, FL 32114-6123 | 2006-05-16 |
1225038441 | William J Dunn | Ophthalmology | 564 Health Blvd, Daytona Beach, FL 32114-1492 | 2005-07-29 |
1235136219 | Robert Runyan Young | Ophthalmology | 505 Health Blvd, Daytona Beach, FL 32114-1493 | 2005-07-05 |
1932514585 | Itza Marie Acevedo Ojeda | Ophthalmology | 505 Health Blvd, Daytona Beach, FL 32114 | 2014-06-23 |
1891130829 | William Jessup Carroll | Ophthalmology | 529 Health Blvd, Daytona Beach, FL 32114-1493 | 2013-05-03 |
1154631307 | Donald M. Cardone, M.d., P.a. | Ophthalmology | 517 N Clyde Morris Blvd, Daytona Beach, FL 32114-2323 | 2010-10-20 |
Find all providers in DAYTONA BEACH |
City | DAYTONA BEACH |
Zip Code | 32117 |
Please comment or provide details below to improve the information on 3D VISION EYE SURGERY CENTER PA.
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.