DANIEL R MCINTOSH & ASSOCIATES OD (NPI# 1417017872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417017872 |
| Entity Type | Organization |
| Organization Name | DANIEL R MCINTOSH & ASSOCIATES OD |
| Practice Address |
3840 Belfort Rd Ste 105 Jacksonville FL 32216-8208 |
| Practice Telephone | 9047371975 |
| Mailing Telephone | 9047371975 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2012-06-12 |
| Authorized Official Name | DR. DANIEL R MC INTOSH (OWNER) |
| Authorized Official Telephone | 9047371975 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WS0006X |
Optometrist Specialization: Sports Vision |
Eye and Vision Services Providers |
| Street Address |
3840 BELFORT RD STE 105 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-8208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598871048 | Daniel R Mcintosh | Optometrist | 3840 Belfort Rd Ste 105, Jacksonville, FL 32216-6202 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 152WS0006X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Sports Vision |
| An optometrist who offers services designed to care for unique vision care needs of athletes, which may include one of more of the following services: corrective vision care unique to a specific sporting environment; protective eyewear for the prevention of sports-related injuries; vision enhancement - which may include vision therapy and techniques to improve visual skills specific to the athlete’s sport. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629596200 | Optix | Optometrist | 9001 Taborfield Ave Ste 101, Orlando, FL 32836-8905 | 2017-09-05 |
| 1093296808 | Wilmarie Torres | Optometrist | 567 S Chickasaw Trl, Orlando, FL 32825-7801 | 2018-08-28 |
| 1760508212 | Palm Vision Center, Inc. | Optometrist | 10064 Griffin Rd, Cooper City, FL 33328-3309 | 2007-03-22 |
| City | JACKSONVILLE |
| Zip Code | 32216 |
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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.