EYE DOCTORS OPTICAL OUTLETS, PA (NPI# 1508466889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508466889 |
| Entity Type | Organization |
| Organization Name | EYE DOCTORS OPTICAL OUTLETS, PA |
| Practice Address |
2469 W Us Highway 90 Ste A27 Lake City FL 32055-4738 |
| Mailing Address |
5607 Johns Rd Tampa FL 33634-4499 |
| Practice Telephone | 3865158647 |
| Mailing Telephone | 8138853937 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | ANETTE ALLGOOD (CREDENTIALING) |
| Authorized Official Telephone | 8003535420 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497388722 | Eye Doctors Optical Outlets, Pa | Optometrist | 10689 Big Bend Rd, Riverview, FL 33579-7176 | 2020-02-14 |
| 1871147066 | Eye Doctors Optical Outlets, Pa | Optometrist | 1801 James L Redman Pkwy, Plant City, FL 33563-6913 | 2019-07-26 |
| 1982162194 | Eye Doctors Optical Outlets, Pa | Optometrist | 1712 Us Highway 27 N, Sebring, FL 33870-1921 | 2019-03-06 |
| 1437617644 | Eye Doctors Optical Outlets, Pa | Optometrist | 4945 Golden Gate Pkwy Ste 110, Naples, FL 34116-6973 | 2019-03-06 |
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1598245193 | Eye Doctors Optical Outlets, Pa | Optometrist | 2600 Posner Blvd, Davenport, FL 33837-3638 | 2018-08-14 |
| 1043721202 | Eye Doctors Optical Outlets, Pa | Eyewear Supplier (Equipment, not the service) | 140 E 13th St, Saint Cloud, FL 34769-4703 | 2017-10-16 |
| 1497047344 | Eye Doctors Optical Outlets, Pa | Optometrist | 39310 Us Highway 19 N, Tarpon Springs, FL 34689-3986 | 2011-05-11 |
| 1891023289 | Eye Doctors Optical Outlets, Pa | Optometrist | 2827 University Pkwy, Sarasota, FL 34243-4201 | 2009-11-24 |
| 1740515105 | Eye Doctors Optical Outlets, Pa | Optometrist | 6431 County Line Rd, Space 113, Tampa, FL 33647-1840 | 2009-10-02 |
| Street Address |
2469 W US HIGHWAY 90 STE A27 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32055-4738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114439510 | Melissa Fay Peters | Nurse Practitioner | 5085 West Us Highway 90, Lake City, FL 32055 | 2017-10-26 |
| 1851801765 | Stephanie Jo Nogle | Occupational Therapist | Brooks Americare: 4251 Nw American Ln, #103, Lake City, FL 32055 | 2017-10-05 |
| 1831617273 | Erica Mayo | Pharmacist | 4846 Nw Lake Jeffery Rd., Lake City, FL 32055 | 2017-09-06 |
| 1144759333 | Jerry Hamilton Cheesman | Dentist | 217 Ne Franklin Sreet, Lake City, FL 32055 | 2017-06-09 |
| 1487183745 | Joshua Allore | Dentist | 2970 W Us Highway 90., Lake City, FL 32055 | 2017-06-08 |
| 1497298418 | Careing Hands | Preferred Provider Organization | 1471nw Queen Rd, Lakecity, FL 32055 | 2016-11-22 |
| 1881148278 | Corniqueca Stewart-simmons | Nurse Practitioner | 340 Nw Commerce Drive, Lake City, FL 32055 | 2016-08-15 |
| 1164809141 | Latasha Harten-jones | Licensed Practical Nurse | 443 Ne Sims Dr, Lake City, FL 32055 | 2015-04-29 |
| 1154716447 | Lindsey Morton | Counselor | 219 Se Baya Avenue, Lake City, FL 32055 | 2015-04-02 |
| 1124439351 | Tynette Jordan | Counselor | 708 N.w Wilson St., Lake City, FL 32055 | 2014-05-09 |
| Find all providers in zip 32055 | ||||
| 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 |
|---|---|---|---|---|
| 1427426469 | Lake City Vision Pa | Optometrist | 295 Nw Commons Loop Ste 105, Lake City, FL 32055-7709 | 2015-09-08 |
| 1447456827 | Sanjeet Kaur Virk | Optometrist | 619 S Marion Ave (lake City Vamc), Lake City, FL 32025-5808 | 2007-06-22 |
| 1639386832 | Steven Craig Hobbs | Optometrist | 339 West Main Street, Lake City, SC 29560 | 2007-05-17 |
| 1093867236 | William A. Cole | Optometrist | 2133 W Us Highway 90, Suite 170, Lake City, FL 32055-4705 | 2007-01-17 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1407956071 | Reaves C Cole | Optometrist | 621 Sw Baya Dr, Suite 101, Lake City, FL 32025-4240 | 2006-09-24 |
| 1396847539 | Michael P Weisgerber | Optometrist | 123 Epps St, Lake City, SC 29560-2449 | 2006-09-01 |
| 1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
| 1205817392 | Ronald R Foreman | Optometrist | 763 Sw Main Blvd, Lake City, FL 32025-5791 | 2005-11-07 |
| 1679554760 | Frank Anthony Broome IIi | Optometrist | 125 Sw Midtown Pl, Suite 101, Lake City, FL 32025-0766 | 2005-11-07 |
| Find all providers in LAKE CITY | ||||
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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.