RYAN NICHOLAS OD LLC (NPI# 1558905588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558905588 |
| Entity Type | Organization |
| Organization Name | RYAN NICHOLAS OD LLC |
| Practice Address |
4200 Conroy Rd # B166 Orlando FL 32839-2400 |
| Mailing Address |
5268 Baskin St Orlando FL 32814-6920 |
| Practice Telephone | 4074733539 |
| Practice Fax Number | 4077968602 |
| Mailing Telephone | 9095425208 |
| Enumeration Date | 2019-11-02 |
| Last Update Date | 2019-11-02 |
| Authorized Official Name | DR. RYAN NICHOLAS (OPTOMETRIST) |
| Authorized Official Telephone | 9095425208 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
4200 CONROY RD # B166 |
| City | ORLANDO |
| State | FL |
| Zip Code | 32839-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851916951 | Good Ole Days Adult Living Facility LLC | Assisted Living Facility | 3913 Trovati Street, Orlando, FL 32839 | 2020-06-15 |
| 1396399846 | Steven Outlaw | Specialist/Technologist | 216 Spencer St, Orlando, FL 32839 | 2019-08-01 |
| 1225517279 | Orlando Outpatient Surgery Center LLC | Clinic/Center | 1736 33rd St, Orlando, FL 32839 | 2018-08-10 |
| 1811406564 | Latonya Rouse | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5214 Via Hacienda, 206, Orlando, FL 32839 | 2017-09-26 |
| 1154841153 | Jillisa Clobree Tarver | Technician, Other | 5451 Millenia Lakes Blvd Apt 186, Orlando, FL 32839 | 2017-06-21 |
| 1760917728 | Beatriz Baez | Health Educator | 4836 Ligustrom Way, Orlando, FL 32839 | 2017-04-27 |
| 1740637115 | Marines Vigo | Psychologist | 1114 Redman St, Apt B, Orlando, FL 32839 | 2016-05-16 |
| 1417332560 | Kimona Lawrence | Optometrist | 4200 Conroy Road, Orlando, FL 32839 | 2015-07-29 |
| 1942627732 | Jennifer Lombardo | Social Worker | 4530 S Orange Blossom Trl # 570, Orlando, FL 32839 | 2014-03-18 |
| 1336413863 | Cheryl Lynn Anderson | Social Worker | 3805 Millenia Blvd, #110, Orlando, FL 32839 | 2012-03-01 |
| Find all providers in zip 32839 | ||||
| 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 |
|---|---|---|---|---|
| 1548893746 | Mi Optometra Inc | Optometrist | 5142 Hook Hollow Cir, Orlando, FL 32837-4913 | 2020-02-15 |
| 1992355036 | National Vision Inc | Optometrist | 6776 Eagle Watch Dr, Orlando, FL 32822-2355 | 2019-09-19 |
| 1891277760 | Salazar Eyecare LLC | Optometrist | 2883 Delaney Ave, Orlando, FL 32806-5412 | 2018-09-06 |
| 1861972366 | Investment Strategy Group, Inc | Optometrist | 3016 E Colonial Dr, Orlando, FL 32803-5006 | 2018-08-15 |
| 1457853632 | William Roberts Optometry, Pllc | Optometrist | 4192 Conroy Rd Ste 111, Orlando, FL 32839-6417 | 2018-03-05 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1760918510 | Muhammad Saad Sami | Optometrist | 14731 Crosston Bay Ct, Orlando, FL 32824-4291 | 2017-05-11 |
| 1568908192 | Tam Duong | Optometrist | 6108 Sparling Hills Cir, Orlando, FL 32808-1438 | 2017-01-06 |
| 1326595208 | Jeanine Hayen Od LLC | Optometrist | 720 Rugby St, Suite 100, Orlando, FL 32804-4900 | 2016-09-08 |
| 1902359003 | Eye Associates of Mid Florida, P.a. | Optometrist | 8001 S Orange Blossom Trail, 1312, Orlando, FL 32809-7695 | 2016-07-26 |
| Find all providers in ORLANDO | ||||
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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.