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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 152W00000X | Optometrist | OPC 4078 | FL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 621237900 | 05 | |
FL | BCBS FL | 36029 | 01 |
Street Address |
665 S APOLLO BLVD |
City | MELBOURNE |
State | FL |
Zip Code | 32901-1485 |
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 |
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 |
Find all providers in zip 32901 |
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 |
---|---|---|---|---|
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 |
Find all providers in MELBOURNE |
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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.