VISION SOURCE OF EAST BROWARD LLC (NPI# 1518135326) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518135326 |
| Entity Type | Organization |
| Organization Name | VISION SOURCE OF EAST BROWARD LLC |
| Practice Address |
2419 E Commercial Blvd Ste 100 Fort Lauderdale FL 33308 |
| Mailing Address |
2419 E Commercial Blvd Ste 100 Fort Lauderdale FL 33308-4042 |
| Practice Telephone | 9547719120 |
| Practice Fax Number | 9547714883 |
| Mailing Telephone | 9547719120 |
| Mailing Fax Number | 9547714883 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2018-06-28 |
| Authorized Official Name | JON STEPHEN JACOBS (DOCTOR) |
| Authorized Official Telephone | 9547719120 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC951 | FL | Eye and Vision Services Providers |
| Street Address |
2419 E COMMERCIAL BLVD STE 100 |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376535948 | Jon Stephen Jacobs | Optometrist | 2419 E Commercial Blvd Ste 100, Fort Lauderdale, FL 33308 | 2005-08-18 |
| 1780223677 | Myeyedr Optometry of Florida, LLC | Optometrist | 2419 E Commercial Blvd Ste 100, Fort Lauderdale, FL 33308-4042 | 2019-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215558788 | Marina Silva Ferreira | Student in an Organized Health Care Education/Training Program | Univ of Miami Miller School of Med Holy Cross Hospital, 4725 N Federal Highway, Fort Lauderdale, FL 33308 | 2020-05-06 |
| 1013538040 | Mehak Bansal | Student in an Organized Health Care Education/Training Program | 4725 N Federal Highway University of Miami, Miller School of Medicine Holy Cross Hospital Internal, Fort Lauderdale, FL 33308 | 2020-04-30 |
| 1285269266 | Roman Castell | Massage Therapist | 2480 E Commercial Blvd Ste 3, Fort Lauderdale, FL 33308 | 2020-03-10 |
| 1124667969 | Icarevip, Inc | Internal Medicine | 4800 N. Federal Highway, Suite 200, Fort Lauderdale, FL 33308 | 2019-12-26 |
| 1629612932 | Lana A Simmonds | Nurse Practitioner | 4390 N. Federal Hwy, Unit 101, Fort Lauderdale, FL 33308 | 2019-10-30 |
| 1063997260 | Kneaded Therapy, Inc | Physical Medicine & Rehabilitation | 2746 E Commerical Blvd., Ft. Lauderdale, FL 33308 | 2018-10-03 |
| 1518452184 | Colleen Lynn Culbertson | Nurse Anesthetist, Certified Registered | 1930 Ne 47th St Ste 308, Ft Lauderdale, FL 33308 | 2018-06-26 |
| 1962910562 | Healing Therapy Center Pllc | Social Worker | Healing Therapy, 1919 Ne 45th Street, Suite 225, Ft. Lauderale, FL 33308 | 2018-01-17 |
| 1376066647 | Carlos Jose Garcia | Student in an Organized Health Care Education/Training Program | 4725 North Federal Highway Suite 501, Fort Lauderdale, FL 33308 | 2017-07-19 |
| 1407381940 | Heather Hickson Lac LLC | Clinic/Center | 5353 North Federal Highway, Ste 220, Fort Lauderdale, FL 33308 | 2017-04-21 |
| Find all providers in zip 33308 | ||||
| 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 |
|---|---|---|---|---|
| 1316506876 | Richard Valdes | Optometrist | 4910 Sw 31st Ter, Fort Lauderdale, FL 33312-6905 | 2019-06-10 |
| 1447789011 | Quoc Nam Le Huynh | Optometrist | 2900 W Cypress Creek Rd Ste 1, Fort Lauderdale, FL 33309-1715 | 2017-06-07 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1073944278 | Heather Groves | Optometrist | 2466 E Commercial Blvd Ste 102, Fort Lauderdale, FL 33308-4011 | 2013-12-12 |
| 1194152470 | James M Normile Od Pa | Optometrist | 3401 W Sunrise Blvd, Fort Lauderdale, FL 33311 | 2013-10-02 |
| 1396937470 | Brandon William Cornish | Optometrist | 640 N Federal Hwy, Fort Lauderdale, FL 33304-4686 | 2007-08-13 |
| 1245420462 | Allen Taylor | Optometrist | 2900 West Cypress Creek Road, Suite 1, South Florida Vision, Fort Lauderdale, FL 33309 | 2007-07-25 |
| 1083713622 | Leslie A Draper | Optometrist | 2583 E Sunrise Blvd, Fort Lauderdale, FL 33304-3203 | 2006-09-21 |
| 1417067851 | Craig Allen Fidler | Optometrist | 2120 S Federal Hwy, Fort Lauderdale, FL 33316-3545 | 2006-08-30 |
| 1174558878 | Gary D. Enker | Optometrist | 6215 N Federal Hwy, Fort Lauderdale, FL 33308-1903 | 2006-07-11 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33308 |
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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.