MR. MITCHELL GLENN BARATZ (NPI# 1528124112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528124112 |
| Entity Type | Individual |
| Full Name | MR. MITCHELL GLENN BARATZ |
| Credential | L.D.O. |
| Practice Address |
1770 Nw 122nd Ter Pembroke Pines FL 33026-1967 |
| Practice Telephone | 9544311818 |
| Practice Fax Number | 9544412525 |
| Mailing Telephone | 9544311818 |
| Mailing Fax Number | 9544412525 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO1692 | FL | Eye and Vision Services Providers |
| Street Address |
1770 NW 122ND TER |
| City | PEMBROKE PINES |
| State | FL |
| Zip Code | 33026-1967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811736 | Frank Tomas Wenzel | Optometrist | 1770 Nw 122nd Ter, Pembroke Pines, FL 33026-1967 | 2005-09-20 |
| 1114331691 | Nimisha Patel | Optometrist | 1770 Nw 122nd Ter, Pembroke Pines, FL 33026 | 2014-06-12 |
| 1013245331 | Jaime A. Balaguer, Jr., O.d., Pa | Optometrist | 1770 Nw 122nd Ter, Pembroke Pines, FL 33026-1967 | 2009-11-24 |
| 1144342189 | Jaime Alejandro Balaguer Jr. | Optometrist | 1770 Nw 122nd Ter, Pembroke Pines, FL 33026-1967 | 2007-04-03 |
| 1154478535 | Flamingo Falls Eye Care | Optometrist | 1770 Nw 122nd Ter, Pembroke Pines, FL 33026-1967 | 2007-01-05 |
| 1821084179 | John Robert Davis | Optometrist | 1770 Nw 122nd Ter, Pembroke Pines, FL 33026-1967 | 2005-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811488398 | Nathanel A Shammay | Student in an Organized Health Care Education/Training Program | 11251 Renaissance Rd, Cooper City, FL 33026 | 2018-05-21 |
| 1245741313 | Isabel C Gomez | Behavior Technician | 1300 St Charles Place, Pembroke Pines, FL 33026 | 2017-10-17 |
| 1376052233 | Natalie Valentine | Psychologist | 11749 Nw 12th St, Pembroke Pines, FL 33026 | 2017-09-23 |
| 1285159178 | Belkis Perez | Optometrist | 11605 Pines Blvd., Pembroke Pines, FL 33026 | 2017-08-11 |
| 1447792429 | Merlin Abraham | Physical Therapy Assistant | 10794 Pines Blvd #104, Pembroke Pines, FL 33026 | 2016-11-08 |
| 1588024285 | Kerryrose Joyceann Gordon | Registered Nurse | 600 North Hiatus Road, Suite 102, Pembroke Pines, FL 33026 | 2016-02-24 |
| 1659745149 | Grand Dialysis Services LLC | Clinic/Center | 500 N. Hiatus Road, Suite 105, Pembroke Pines, FL 33026 | 2015-11-20 |
| 1992107999 | Therapies 4 Kids, Inc. | Clinic/Center | 1311-1321 N. Palm Avenue, Pembroke Pines, FL 33026 | 2014-09-22 |
| 1073940631 | Lisa Margo Guertin | Nurse Practitioner | 10836 Morningstar Drive, Hollywood, FL 33026 | 2013-09-27 |
| 1881930865 | Carol Elizabeth Farrell | Speech-Language Pathologist | 11704 Melaleuca Way, Cooper City, FL 33026 | 2012-12-20 |
| Find all providers in zip 33026 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033520044 | America's Best Contacts & Eyeglasses | Technician/Technologist | 11040 Pines Blvd, Pembroke Pines, FL 33026-5209 | 2014-05-13 |
| 1982928271 | Ginny Falcon | Technician/Technologist | 10800 Pines Blvd Ste 7, Pembroke Pines, FL 33026-5216 | 2010-03-16 |
| 1285747790 | Justin M Weininger | Technician/Technologist | 2068 N University Dr, Pembroke Pines, FL 33024-3608 | 2006-08-17 |
| 1861499055 | Miguel E Brinon | Technician/Technologist | 7183 Pembroke Rd, Pembroke Pines, FL 33023-2626 | 2005-07-01 |
| 1831281302 | Wal-mart Stores East, Lp | Technician/Technologist | 151 Sw 184th Ave, Pembroke Pines, FL 33029-5465 | 2006-09-29 |
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|---|---|---|---|---|
| 1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
| 1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
| 1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
| 1073121430 | Elvira R Diez | Technician/Technologist | 950 Bluewood Ter, Weston, FL 33327-2049 | 2020-07-21 |
| 1598373219 | Jocelyn Dorfils | Technician/Technologist | 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 | 2020-07-20 |
| 1376161000 | Carla Stocker | Technician/Technologist | 7410 Daetwyler Dr, Orlando, FL 32812-3726 | 2020-07-09 |
| 1306464292 | Christian Gonzalez | Technician/Technologist | 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 | 2020-07-08 |
| 1245867902 | Cindy Perry Toepfer | Technician/Technologist | 264 Tamiami Trl S, Venice, FL 34285-2419 | 2020-03-24 |
| 1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
| Find all providers with the same taxonomy | ||||
| City | PEMBROKE PINES |
| Zip Code | 33026 |
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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.