3D VISION EYE SURGERY CENTER PA


Address: 1893 N Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32117-5535
Phone: 4075903333

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology ME80695 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
DEA BJ9222376 01

Other Provider/Organization Names

Other Name Type Code
FERST: Florida Eye Research and Surgical Therapy Institute Doing Business As Name - Organization

Office Location

Street Address 1893 N CLYDE MORRIS BLVD
SUITE 100
City DAYTONA BEACH
State FL
Zip Code 32117-5535

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City DAYTONA BEACH
Zip Code 32117

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Dataset Information

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.

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