CAPSTONE EYE CARE GROUP OF FLORIDA LLC (NPI# 1245765205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245765205 |
| Entity Type | Organization |
| Organization Name | CAPSTONE EYE CARE GROUP OF FLORIDA LLC |
| Practice Address |
7855 113th St Bldg P-2 Suite A Seminole FL 33772 |
| Mailing Address |
510 E Memorial Rd Suite A-4 Oklahoma City OK 73114-2229 |
| Practice Telephone | 4054451588 |
| Mailing Telephone | (405) 445-1588 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. JEFFREY BUTCHER (MANAGER) |
| Authorized Official Telephone | 4053172140 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3708 Henderson Blvd, Tampa, FL 336094504 | 7273176174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159358 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 110 S Orlando Ave Ste 11, Winter Park, FL 32789-3656 | 2017-12-12 |
| 1326563362 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 3708 Henderson Blvd, Tampa, FL 33609-4504 | 2017-08-10 |
| Street Address |
7855 113TH ST BLDG P-2 SUITE A |
| City | SEMINOLE |
| State | FL |
| Zip Code | 33772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922453067 | Donna Malkovich | Nurse Practitioner | 11925 Mandarin Ct, Seminole, FL 33772 | 2016-04-26 |
| 1518259209 | Dorca N. May | Nurse's Aide | 11428 - 63 Ave N, Seminole, FL 33772 | 2011-05-12 |
| 1467753681 | Anthony J. Auletta, Jr. D.m.d., Pa | Dentist | 8277 113th Street N, Seminole, FL 33772 | 2010-11-04 |
| 1346559481 | Tiffany Jane Marie Bishop | Physical Therapist | 11224 Park Blvd., N, Cora Rehabilitation, Seminole, FL 33772 | 2010-10-06 |
| 1235442997 | Cynthia Renee Bouchard | Student in an Organized Health Care Education/Training Program | 9200 113th St. N., Seminole, FL 33772 | 2010-07-22 |
| 1851603591 | William Daily | Dentist | 9200 113th St N, Seminole, FL 33772 | 2010-07-10 |
| 1427370295 | Teresa Ann Skinner | Counselor | 7130 Seminole Blvd., Seminole Professional Centre, Seminole, FL 33772 | 2010-02-22 |
| 1922257120 | Jennifer Henkel Johnson | Dentist | 9951 Seminole Blvd, Seminole, FL 33772 | 2008-09-11 |
| 1528233970 | Joann Carol Horianopoulos | Physical Therapy Assistant | 7388 121st Way North, Seminole, FL 33772 | 2008-04-28 |
| 1477735868 | Nery Denisse Balcacer-estevez | Internal Medicine | 8207 113th Street North, Seminole, FL 33772 | 2007-11-28 |
| Find all providers in zip 33772 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649351958 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 11212 Park Boulevard, Seminole, FL 33772 | 2006-10-17 |
| 1730466707 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 11212 Park Blvd, Seminole, FL 33772-4752 | 2011-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
| 1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
| 1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
| 1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
| 1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
| 1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
| 1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
| 1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
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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.