JEANNA SHEA EAGERTON


Address: 665 S Apollo Blvd, Melbourne, FL 32901-1485
Phone: 3219843200

JEANNA SHEA EAGERTON (NPI# 1518908607) 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) 1518908607
Entity Type Individual
Full Name JEANNA SHEA EAGERTON
Credential OD
Practice Address 665 S Apollo Blvd
Melbourne
FL 32901-1485
Practice Telephone 3219843200
Practice Fax Number 3219842620
Mailing Telephone 3219843200
Mailing Fax Number 3219842620
Enumeration Date 2006-06-09
Last Update Date 2008-07-29
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPC 4078 FL Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
FL 621237900 05
FL BCBS FL 36029 01

Office Location

Street Address 665 S APOLLO BLVD
City MELBOURNE
State FL
Zip Code 32901-1485

Providers in the same location

NPI Name Taxonomy Address Enumeration
1477503696 Rafael Trespalacios Ophthalmology 665 S Apollo Blvd, Melbourne, FL 32901-1485 2006-05-10
1861986937 Leslie Ann Collins Optometrist 665 S Apollo Blvd, Melbourne, FL 32901-1485 2018-06-21
1255702841 Brevard Eye Center Inc Optometrist 665 S Apollo Blvd, Melbourne, FL 32901-1485 2015-10-08
1790901700 Brevard Eye Center Inc Eyewear Supplier (Equipment, not the service) 665 S Apollo Blvd, Melbourne, FL 32901-1485 2007-04-18
1417173832 Staci Renee Walters Optometrist 665 S Apollo Blvd, Melbourne, FL 32901-1485 2007-04-17
1558456681 Brevard Eye Center, Inc Durable Medical Equipment & Medical Supplies 665 S Apollo Blvd, Melbourne, FL 32901-1485 2006-10-04
1437163664 Christopher Jude Calvano Ophthalmology 665 S Apollo Blvd, Melbourne, FL 32901-1485 2006-07-27
1770528838 Brevard Surgery Center Clinic/Center 665 S Apollo Blvd, Melbourne, FL 32901-1485 2006-06-20
1346288784 Paul James Befanis Ophthalmology 665 S Apollo Blvd, Melbourne, FL 32901-1485 2006-06-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1467804278 Nickolas Hetherington Occupational Therapist 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901 2016-07-05
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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
1386241297 Simply See LLC Optometrist 1573 S Wickham Rd, Melbourne, FL 32904-3540 2020-10-04
1659917565 John David Ammarell Optometrist 785 N Wickham Rd Fl 32935, Melbourne, FL 32935-8857 2019-11-26
1386203982 Zenfira Vincent Optometrist 928 W New Haven Ave, Melbourne, FL 32901-4241 2019-06-07
1134502396 Rebecca Marzouca Optometrist 1541 W New Haven Ave, Shop # 5335, Melbourne, FL 32904-3905 2015-07-07
1619371283 Progressive Eye Center of Melbourne, LLC Optometrist 102 Spring St, Melbourne, AR 72556-9241 2014-10-10
1295134179 Kane Family Vision Center Optometrist 2053 Sarno Rd, Melbourne, FL 32935-3973 2014-08-18
1114281235 Lisette Christine Scheer Optometrist 6300 North Wickham Rd, Melbourne, FL 32940 2012-07-03
1003041906 Paul G Rousseau Od Pa Optometrist 5455 Murrell Road, Suite 107, Melbourne, FL 32955-1986 2009-05-20
1457542854 Eye Doctors Optical Outlets Pa Optometrist 6300 N Wickham Rd Ste 131, Melbourne, FL 32940-2023 2007-08-09
1831399450 Guillermo Altonaga Optometrist 1905 Bayhill Dr, Melbourne, FL 32940-6303 2007-07-22
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Competitor

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City MELBOURNE
Zip Code 32901

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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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