RYAN SACKSTEDER (NPI# 1265780555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265780555 |
| Entity Type | Individual |
| Full Name | RYAN SACKSTEDER |
| Credential | O.D. |
| Practice Address |
148 13th St Sw Largo FL 33770-3127 |
| Practice Telephone | 7275818706 |
| Practice Fax Number | 7275863743 |
| Mailing Telephone | 7275818706 |
| Mailing Fax Number | 7275863743 |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2013-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC4734 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006480900 | 05 |
| Street Address |
148 13TH ST SW |
| City | LARGO |
| State | FL |
| Zip Code | 33770-3127 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112156 | Stacia H Goldey | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2005-05-23 |
| 1679936991 | Kirkland Castellano | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2016-04-04 |
| 1225411622 | Maria L. Adams | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-07-02 |
| 1528440856 | Brandon Connor Clair | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2015-06-23 |
| 1902234172 | Vasilios Frank Diakonis | Specialist | 148 13th St Sw, Largo, FL 33770-3127 | 2013-10-24 |
| 1043646672 | Bradley Philip Oneill | Ophthalmology | 148 13th St Sw, Largo, FL 33770-3127 | 2013-09-14 |
| 1063770469 | Siddarth Rathi | Ophthalmology | 148 13th St Sw, Largo, FL 33770 | 2012-04-24 |
| 1366710741 | Eye Physicians of Pinellas, Pa | Clinic/Center | 148 13th St Sw, Largo, FL 33770-3127 | 2011-12-13 |
| 1912213240 | Priti Panchal | Optometrist | 148 13th St Sw, Largo, FL 33770-3127 | 2010-08-24 |
| 1194050203 | Melinda L Gruszka | Optometrist | 148 13th St Sw, Largo, FL 33770-3127 | 2009-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1407353626 | Michael E Ibrahim | Pharmacist | 1290 West Bay Drive, Largo, FL 33770 | 2018-04-13 |
| 1518413384 | Payton Kuhlenbeck | Anesthesiology | 210 14th Street Sw, Largo, FL 33770 | 2016-08-31 |
| 1639536865 | Ryan Boice | Physical Therapy Assistant | 118 West Bay Drive, Suite 111, Largo, FL 33770 | 2016-01-19 |
| 1508238858 | Alignment Healthcare Florida LLC | Clinic/Center | 1301 2nd Ave., Sw, Largo, FL 33770 | 2015-10-27 |
| 1891161808 | Jessica Nicole Mcglone | Nurse Practitioner | 601 Rosery Rd Ne Apt 1502, Largo, FL 33770 | 2015-08-12 |
| 1033598602 | Demetria Anderson | Counselor | 1301 Seminole Blvd Ste 103, Largo, FL 33770 | 2015-05-28 |
| 1962881821 | Building Blocks Therapy, Pllc | Community/Behavioral Health | 1301 Seminole Blvd Building A Suite 103, Largo, FL 33770 | 2015-05-26 |
| 1457765968 | Summer Moon | Dermatology | 115 Highland Ave N, Largo, FL 33770 | 2014-06-12 |
| 1578982393 | Lauren Elizabeth Grandpre | Emergency Medicine | 201 14th St. Sw, Largo Medical Center Emergency Department, Largo, FL 33770 | 2014-04-09 |
| Find all providers in zip 33770 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1750940003 | Michelle Quach | Optometrist | 13002 Seminole Blvd Ste 10&11, Largo, FL 33778-2125 | 2019-06-11 |
| 1154841278 | Thu Nguyen | Optometrist | 10500 Ulmerton Rd Ste 278, Largo, FL 33771-3537 | 2017-06-20 |
| 1760841530 | Sunshine Eye Care Solutions, LLC | Optometrist | 10925 Ulmerton Rd, Largo, FL 33778-1624 | 2016-02-22 |
| 1508277948 | Kacie Marie Kreifels | Optometrist | 1250 Belcher Rd S, Largo, FL 33771-5213 | 2014-05-19 |
| 1467882050 | Nora Lee Cothran | Optometrist | 1225 W Bay Dr, Largo, FL 33770-2203 | 2013-11-18 |
| 1043465537 | Francis Barreiro Od Pa | Optometrist | 1915 E Bay Dr, Suite A-3, Largo, FL 33771-2203 | 2008-11-25 |
| 1164620605 | Innovision Practice Group Pa | Optometrist | 8250 Bryan Dairy Rd Ste 120, Largo, FL 33777-1357 | 2007-07-05 |
| 1295818268 | Mitchellville Eye Associates | Optometrist | 10476 Campus Way S, Largo, MD 20774-1304 | 2006-10-23 |
| 1205876919 | Gary L. Wasserman | Optometrist | 13489 Walsingham Rd, Largo, FL 33774-3530 | 2006-06-08 |
| Find all providers in LARGO | ||||
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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.