JUANITA VINCENTY


Address: 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7121
Phone: 8177383191

JUANITA VINCENTY (NPI# 1437487543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437487543
Entity Type Individual
Full Name JUANITA VINCENTY
Credential OD
Practice Address 7108 Camp Bowie Blvd
Fort Worth
TX 76116-7121
Mailing Address 7108 Camp Bowie Blvd
Fort Worth
TX 76116-7198
Practice Telephone 8177383191
Practice Fax Number 8177387724
Mailing Telephone 8177383191
Mailing Fax Number 8177387724
Enumeration Date 2009-12-01
Last Update Date 2020-03-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist 7470T TX Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
TEXAS OPTOMETRY BOARD 7470T 01

Office Location

Street Address 7108 CAMP BOWIE BLVD
City FORT WORTH
State TX
Zip Code 76116-7121

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295765915 Larry A Whetstine Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7121 2006-07-05
1619589207 Takeva Marsha Hicks Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7121 2020-08-17
1912538356 Bonita Banh Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7198 2020-02-03
1740776657 Xinnan Wang Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7198 2018-07-03
1003301227 Hong Zeng Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7198 2018-06-29
1720502958 Brenton Joson Miller Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116 2017-07-31
1730602798 Kathleen Almenario Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7121 2017-07-21
1871926857 Luck Optical LLC Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7121 2013-08-14
1790037034 Nathan Draper Steenblik Optometrist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7198 2012-10-10
1275888927 Sharon R Luck Technician/Technologist 7108 Camp Bowie Blvd, Fort Worth, TX 76116-7121 2012-07-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1952908980 William Michael Marshall Pharmacist 8600 Camp Bowie Blvd, Forth Worth, TX 76116 2020-10-02
1558843599 Donnisha Bunting In Home Supportive Care 2901 Broadmoor, 1115, Fort Worth, TX 76116 2018-09-06
1588156756 Bilal Master Student in an Organized Health Care Education/Training Program 3309 Riveroad Court, 2515, Ft Worth, TX 76116 2018-06-04
1245769728 Randall R Williams Physical Therapist 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 2017-06-08
1023543048 5th Avenue Grooming Lounge Prosthetic/Orthotic Supplier 1201 N Watson Rd., Suite 283, Arlington, TX 76116 2017-04-27
1831647734 Frisco Neuro Collaborations, Pllc Physician Assistant 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 2016-09-20
1104288372 Brown Mobile Dental Pa Dentist 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 2016-03-25
1639553431 Bartholomew A Akubukwe Pharmacist 6700 Westfree Way, Fortworth, TX 76116 2015-07-13
1952718868 Brown Mobile Dental Dentist 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 2014-07-14
1275949018 Emily Sue Danner Dentist 6726 Camp Bowie Blvd., Fort Worth, TX 76116 2014-07-01
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841805645 Mary Kathryn Walters Optometrist 655 Taylor Street, Fort Worth, TX 76102-4821 2020-09-09
1053920546 Christa Marie Widjaja Optometrist 1700 Montgomery St, Fort Worth, TX 76107 2020-07-30
1275168403 National Vision Inc Optometrist 5609 Sierra Springs Ln, Fort Worth, TX 76123-2183 2020-03-09
1659933125 Robert Xiang Li Optometrist 3524 Highway 114 Ste 300, Fort Worth, TX 76177-2197 2019-07-03
1134781792 Daniel Max & Marcandrea LLC Optometrist 4619 S Hulen St, Suite C, Fort Worth, TX 76132 2019-07-03
1144782889 Daniel Max & Marcandrea LLC Optometrist 8901 N. Freeway Service Rd E, Ste 105, Fort Worth, TX 76177 2019-04-02
1053879569 Daniel Max & Marcandrea LLC Optometrist 501 Alta Mere Dr Ste 1021, Fort Worth, TX 76114-4014 2019-03-05
1083179600 Joseph Khang Vu Optometrist 4800 S Hulen St Ste 147, Fort Worth, TX 76132-1415 2019-02-07
1477030567 Brandon Ronald Lee Optometrist 2644 E Berry St., Fort Worth, TX 76105 2018-07-23
1932685682 Jennifer Marie Wiernas Optometrist 6333 Camp Bowie Blvd Ste 272, Fort Worth, TX 76116-5444 2018-07-16
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Competitor

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City FORT WORTH
Zip Code 76116

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Dataset Information

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.

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