DR. PHILLIP KEITH HAIMAN (NPI# 1457541187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457541187 |
| Entity Type | Individual |
| Full Name | DR. PHILLIP KEITH HAIMAN |
| Credential | OD |
| Practice Address |
12555 W Sunrise Blvd Sunrise FL 33323-0900 |
| Mailing Address |
10020 Mandarin St Parkland FL 33076-3941 |
| Practice Telephone | 9548450665 |
| Mailing Telephone | 9543368903 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2016-08-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | OPC3650 | FL | Eye and Vision Services Providers |
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPC 3650 | FL | Eye and Vision Services Providers |
| Street Address |
12555 W SUNRISE BLVD |
| City | SUNRISE |
| State | FL |
| Zip Code | 33323-0900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497772883 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 12555 W Sunrise Blvd, Sunrise, FL 33323-0900 | 2006-07-16 |
| 1225639446 | Adrian Molina | Pharmacist | 12555 W Sunrise Blvd, Sunrise, FL 33323-0900 | 2020-11-04 |
| 1235730540 | Christopher Lezark | Pharmacist | 12555 W Sunrise Blvd, Sunrise, FL 33323-0900 | 2020-11-03 |
| 1447683479 | Andrew Valenti | Optometrist | 12555 W Sunrise Blvd, Sunrise, FL 33323-0900 | 2013-08-13 |
| 1790008779 | Dr. Phillip Haiman and Associates, P.a. | Optometrist | 12555 W Sunrise Blvd, Sunrise, FL 33323-0900 | 2010-03-05 |
| 1326131582 | Wal-mart Stores East, Lp | Technician/Technologist | 12555 W Sunrise Blvd, Sunrise, FL 33323-0900 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427605088 | Global Wellness LLC | Clinical Neuropsychologist | 1560 Sawgrass Corporate Parkway #447, Sunrise, FL 33323 | 2019-08-19 |
| 1740785062 | Rodolfo Walse Asis Jr. | Physical Medicine & Rehabilitation | 1580 Sawgrass Corporate Parkway, Suite 200, Sunrise, FL 33323 | 2018-03-28 |
| 1558890913 | Juliana Andrea Duque | Technician, Health Information | 11301 Nw 29th Street, Sunrise, FL 33323 | 2017-06-08 |
| 1487183026 | Alejandra Lamardo | Specialist/Technologist | 3634 Nw 122nd Ter, Sunrise, FL 33323 | 2017-06-07 |
| 1831630623 | Kayode David Ojetola | Physical Therapist | 1580 Sawgrass Corporate Parkway, Sunrise, FL 33323 | 2017-03-14 |
| 1467990770 | Gerardo Pre Dinglasan Jr. | Physical Therapist | 1580 Sawgrass Corporate Parkway Suite 200, Parkway Suite 200, Sunrise, FL 33323 | 2017-02-07 |
| 1184161630 | Praveen Mishra | Physical Therapist | 1580 Sawgrass Corp Parkway, Suite 200, Sunrise, FL 33323 | 2017-01-23 |
| 1770029183 | Corahealinghands Psychiatric Services Inc | Nurse Practitioner | 14421 West Sunrise Boulevard Suite, 208, Sunrise, FL 33323 | 2017-01-09 |
| 1558718916 | Shirley Freckleton-williams | Nurse Practitioner | 13110 Nw 11th Drive, Sunrise, FL 33323 | 2016-05-16 |
| 1376927525 | Tai Lyn Auras | Nurse Practitioner | 14050 Nw 14th Street, Suite 190, Fort Lauderdale, FL 33323 | 2015-07-17 |
| Find all providers in zip 33323 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173987 | Yunuseyeassociates,pa | Optometrist | 3950 S Us Hwy 17/92, Ste 1008, Casselberry, FL 32707-3270 | 2020-04-24 |
| 1053978122 | Yanara Barreras | Optometrist | 8888 Sw 136th St Ste 391, Miami, FL 33176-5801 | 2019-05-23 |
| 1700378163 | Lindsey Marie Walsh | Optometrist | 601 E Dixie Ave Ste 201, Leesburg, FL 34748-5991 | 2018-06-01 |
| 1225574783 | Miramar Vision Center | Optometrist | 9939 Miramar Pkwy, Miramar, FL 33025-2397 | 2017-01-09 |
| 1366807653 | Isee Eyecare Mobile, Inc. | Optometrist | 10860 Nw 37th Ct, Coral Springs, FL 33065-2701 | 2015-12-31 |
| 1053789644 | Eyepromote, Inc. | Optometrist | 2775 Nw 49th Ave, Suite 205-146, Ocala, FL 34482-6212 | 2015-09-13 |
| 1982086211 | Florida Eye Doctors, Inc | Optometrist | 1000 North Congress Avenue Suite 150, Boynton Beach, FL 33426-3337 | 2015-06-23 |
| 1760877757 | Kenneth Maller | Optometrist | 5333 N Dixie Hwy Ste 101, Oakland Park, FL 33334-3453 | 2015-04-06 |
| 1013314681 | Precision Eye Care Center LLC | Optometrist | 4900 N Highway 19a, Mount Dora, FL 32757-2042 | 2014-11-26 |
| 1801293709 | Debra A. Shim, Od, Pa | Optometrist | 451 University Blvd Ste 102, Jupiter, FL 33458-3102 | 2014-11-21 |
| Find all providers with the same taxonomy | ||||
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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.