CENTAURUS HEALTHCARE, INCORPORATED (NPI# 1366984155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366984155 |
| Entity Type | Organization |
| Organization Name | CENTAURUS HEALTHCARE, INCORPORATED |
| Practice Address |
7657 Lake Worth Rd Lake Worth FL 33467-2534 |
| Mailing Address |
6137 Lake Worth Rd Greenacres FL 33463-3074 |
| Practice Telephone | 5613571009 |
| Mailing Telephone | 5613571009 |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |
| Authorized Official Name | DR. ROBERT GARY VICTOME (OWNER) |
| Authorized Official Telephone | 5612602154 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
7657 LAKE WORTH RD |
| City | LAKE WORTH |
| State | FL |
| Zip Code | 33467-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326162553 | Clear Vue Laser Eye Center Incorporated | Ophthalmology | 7657 Lake Worth Rd, Lake Worth, FL 33467 | 2007-03-16 |
| 1255880068 | Jean R Dumont | Technician/Technologist | 7657 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2016-09-22 |
| 1346798063 | Mil-lake Dental | Dentist | 7657 Lake Worth Rd, Lake Worth, FL 33467-2534 | 2016-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891259537 | Paulette Penning | Nurse Practitioner | Clinic 7891 8954 Lantana Rd, Lake Worth, FL 33467 | 2019-01-28 |
| 1700357183 | Dara Gill | Physical Therapist | 9897 Lake Worth Rd Ste 203, Lake Worth, FL 33467 | 2018-12-11 |
| 1609344977 | Farah Edwidge Johanne Sajous | Nurse Practitioner | 9351 Pinto Dr, Lake Worth, FL 33467 | 2018-11-05 |
| 1386110138 | Juliana Escamilla | Massage Therapist | 390 Bennington Lane, Apt B, Lake Worth, FL 33467 | 2018-10-19 |
| 1609369453 | Courtney Kehaulani Linke | Occupational Therapist | 4602 Sandy Cove Ter, Lake Worth, FL 33467 | 2018-06-07 |
| 1821589862 | Matthew James Dowda | Physical Therapy Assistant | 5342 Evening Star Way, Lake Worth, FL 33467 | 2018-05-25 |
| 1053828954 | Ailema Bayola Perez | Dentist | 3935 Jog Rd, Suite 16, Greenacres, FL 33467 | 2018-01-02 |
| 1922517424 | Metro Physical & Occupational Therapy Inc | Occupational Therapist | 9130 Hypoluxo Road, Lake Worth, FL 33467 | 2017-09-27 |
| 1659806826 | Advanced Placement Medical Products, LLC | Durable Medical Equipment & Medical Supplies | 9627 Bergamo Street, Lake Worth, FL 33467 | 2017-04-26 |
| 1700326378 | Doctor's Choice Medical Center, Inc | Clinic/Center | 2994 S Jog Rd Ste A, Greenacres, FL 33467 | 2017-03-02 |
| Find all providers in zip 33467 | ||||
| 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 |
|---|---|---|---|---|
| 1922607274 | Danielle Nimeh | Optometrist | 6636 Lake Worth Blvd Ste 300, Lake Worth, TX 76135-3029 | 2020-10-19 |
| 1275157570 | Sasha Patel | Optometrist | 5900 S State Road 7, Lake Worth, FL 33449-5438 | 2020-06-02 |
| 1083106934 | Kara Brackney Hayes | Optometrist | 9266 Olmstead Dr, Lake Worth, FL 33467-3602 | 2018-06-05 |
| 1649769985 | Loren Baza | Optometrist | 6014 Azle Ave Ste 200, Lake Worth, TX 76135-2603 | 2018-05-02 |
| 1568816635 | Alex Conley | Optometrist | 6060 Azle Ave Ste 500, Lake Worth, TX 76135-2612 | 2016-04-14 |
| 1609276880 | Ashley Baker | Optometrist | 6045 Hagen Ranch Rd Ste 5, Lake Worth, FL 33467-7251 | 2014-08-25 |
| 1457647570 | Cynthia Rosaline Witt | Optometrist | 6014 Azle Avenue, Suite 300, Lake Worth, TX 76135 | 2011-06-27 |
| 1043535404 | Mahalo Enterprises Corporation | Optometrist | 6486 Lake Worth Road, Lake Worth, FL 33463 | 2010-03-29 |
| 1790984789 | Jonathan Nicholas Valamides | Optometrist | 6060 Azle Ave. Suite 500, Lake Worth, TX 76135 | 2007-07-11 |
| 1730393083 | Catherine Fiedler | Optometrist | 3345 S. Congress Ave, Lake Worth, FL 33461 | 2007-05-09 |
| Find all providers in LAKE WORTH | ||||
| City | LAKE WORTH |
| Zip Code | 33467 |
Please comment or provide details below to improve the information on CENTAURUS HEALTHCARE, INCORPORATED.
| 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.