MS. BEVERLY SUE FLYNN (NPI# 1265462683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1265462683 |
Entity Type | Individual |
Full Name | MS. BEVERLY SUE FLYNN |
Credential | L.D.O. |
Practice Address |
200 Palermo Pl Venice FL 34285-2820 |
Practice Telephone | 9414857316 |
Practice Fax Number | 9414860571 |
Mailing Telephone | 9414857316 |
Mailing Fax Number | 9414860571 |
Enumeration Date | 2006-07-03 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
1449 | FL | Eye and Vision Services Providers |
Street Address |
200 PALERMO PL |
City | VENICE |
State | FL |
Zip Code | 34285-2820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114988045 | P Dee G Stephenson | Ophthalmology | 200 Palermo Pl, Venice, FL 34285-2820 | 2006-03-30 |
1922307347 | P Dee G Stephenson Md Pa | Ophthalmology | 200 Palermo Pl, Venice, FL 34285-2820 | 2011-03-24 |
1013193499 | Venice Vision Center, Inc | Eyewear Supplier (Equipment, not the service) | 200 Palermo Pl, Venice, FL 34285-2820 | 2008-01-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
Find all providers in zip 34285 |
Taxonomy Code | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
1801003678 | Optimart, Inc. | Technician/Technologist | 1867 Tamiami Trl S, Venice, FL 34293-3142 | 2007-05-17 |
1205006483 | Ralph Reichert | Technician/Technologist | 1867 Tamiami Trl S, Venice, FL 34293-3142 | 2008-03-04 |
1104010719 | Joyce Ann Mccaffrey | Technician/Technologist | 602 E Venice Ave, Venice, FL 34285-4635 | 2007-08-28 |
1447359898 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Tamiami Trl S, Venice, FL 34293-5130 | 2006-09-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
1730714965 | Jodi Butler | Technician/Technologist | 900 W Granada Blvd Ste 1, Ormond Beach, FL 32174-5941 | 2020-03-09 |
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.