JOHN W MCCLANE III (NPI# 1366529075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366529075 |
| Entity Type | Individual |
| Full Name | JOHN W MCCLANE III |
| Credential | OD |
| Practice Address |
6 South 14th Street Fernandina Beach FL 32034 |
| Practice Telephone | 9042615741 |
| Practice Fax Number | 9042617383 |
| Mailing Telephone | 9042615741 |
| Mailing Fax Number | 9042617383 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1488 | FL | Eye and Vision Services Providers |
| N | 152W00000X | Optometrist | 887 | GA | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00254141B | 05 | |
| GA | 00261797C | 05 | |
| GA | 00243911B | 05 | |
| GA | 959951220A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760883060 | John William Mcclane Iv | Psychiatry & Neurology | 39580 S Lago Del Oro Pkwy, Tucson, AZ 85739-1091 | 2014-09-06 |
| Street Address |
6 SOUTH 14TH STREET |
| City | FERNANDINA BEACH |
| State | FL |
| Zip Code | 32034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255418976 | Stephen D. Stubits | Optometrist | 6 South 14th Street, Fernandina Beach, FL 32034 | 2006-11-01 |
| 1659458388 | Anthony L. Stubits | Optometrist | 6 South 14th Street, Fernandina Beach, FL 32034 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871059899 | Anna Fn Chu | Dietitian, Registered | Baptist Medical Center Nassau, 1250 South 18th Street, Fernandina Beach, FL 32034 | 2019-02-14 |
| 1841784550 | Kelly Ann Sayers | Social Worker | 1890 S 14th St Ste 110, Fernandina Beach, FL 32034 | 2018-06-15 |
| 1609302611 | Christian Giovanniello | Behavior Technician | 1743 Azalea Street, Fernandina Beach, FL 32034 | 2017-05-11 |
| 1770018467 | Beckerton Chiropractic Pllc | Chiropractor | 464073 East State Road 200, Yulee, FL 32034 | 2017-05-01 |
| 1114392438 | Jayde Marie Gray | Chiropractor | 5211 South Fletcher Ave., Suite 250, Amelia Island, FL 32034 | 2015-12-11 |
| 1760858369 | Sun Gallery Inc. | Eyewear Supplier (Equipment, not the service) | 1523 Sadler Road, Fernandina Beach, FL 32034 | 2015-08-18 |
| 1124419718 | Angela L Michels | Counselor | 1890 S. 14th St., #302, Fernandina Beach, FL 32034 | 2015-02-18 |
| 1336542075 | Sara Veronica Herreros | Physician Assistant | 1865 Lime Street, Suite 100, Fernandina Beach, FL 32034 | 2014-10-08 |
| 1366789471 | Elizabeth Ann Moore | Nurse Practitioner | 1348 S 18th St Ste 340, Fernandina Beach, FL 32034 | 2013-01-09 |
| 1043564289 | Summer Suzanne Delille | Dental Hygienist | 95054 Oriole St., Fernandina Beach, FL 32034 | 2012-11-08 |
| Find all providers in zip 32034 | ||||
| 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 |
|---|---|---|---|---|
| 1427346295 | Rockatonia Bradley | Optometrist | 1523 Sadler Rd, Fernandina Beach, FL 32034-4467 | 2011-07-14 |
| 1982617619 | Mcclane & Stubits Od Pa | Optometrist | 6 S 14th St, Fernandina Beach, FL 32034-3212 | 2006-08-14 |
| 1669095675 | Kathleen Cwikla | Optometrist | 1523 Sadler Rd, Fernandina Beach, FL 32034-4467 | 2020-05-26 |
| 1306297726 | Amelia Island Doctors of Optometry | Optometrist | 1523 Sadler Rd, Fernandina Beach, FL 32034-4467 | 2016-06-27 |
| 1366891582 | Gerald Sunkin | Optometrist | 1523 Sadler Rd, Fernandina Beach, FL 32034-4467 | 2016-06-08 |
| 1619393915 | Amelia Island Optics, LLC | Optometrist | 1480 Sadler Rd, Fernandina Beach, FL 32034-4426 | 2014-03-11 |
| 1932530755 | Chamberlain Corp | Optometrist | 1480 Sadler Rd, Fernandina Beach, FL 32034-4426 | 2013-12-04 |
| 1255418976 | Stephen D. Stubits | Optometrist | 6 South 14th Street, Fernandina Beach, FL 32034 | 2006-11-01 |
| 1659458388 | Anthony L. Stubits | Optometrist | 6 South 14th Street, Fernandina Beach, FL 32034 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
| 1376142828 | Edyta H Bogusz | Optometrist | 13073 Overstreet Rd, Windermere, FL 34786-6602 | 2020-10-25 |
| 1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
| 1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
| 1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
| 1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
| 1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | FERNANDINA BEACH |
| Zip Code | 32034 |
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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.