CLIVE LATTIBEAUDIERE (NPI# 1639574452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639574452 |
| Entity Type | Individual |
| Full Name | CLIVE LATTIBEAUDIERE |
| Practice Address |
10057 Sunset Strip Ste B Sunrise FL 33322-5301 |
| Practice Telephone | 9547495881 |
| Practice Fax Number | 9545724822 |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2014-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO6278 | FL | Eye and Vision Services Providers |
| Street Address |
10057 SUNSET STRIP STE B |
| City | SUNRISE |
| State | FL |
| Zip Code | 33322-5301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801145453 | Karen Michaeline Malcolm-griffith | Optometrist | 10057 Sunset Strip Ste B, Sunrise, FL 33322-5301 | 2012-08-29 |
| 1114320041 | Healthkonscious Eye Care Inc | Optometrist | 10057 Sunset Strip Ste B, Sunrise, FL 33322-5301 | 2014-10-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318689 | Aviva Care Pharmacy LLC | Pharmacy | 2053 North University Drive, Sunrise, FL 33322 | 2020-05-27 |
| 1225658867 | Einbar Hazan | Anesthesiology | 7700 Sunrise Blvd, Plantation, FL 33322 | 2020-04-23 |
| 1598305781 | Rxspeck's LLC | Technician/Technologist | 1860 N Pine Island Rd, 105, Plantation, FL 33322 | 2020-01-15 |
| 1285131771 | Ninoska Del Valle Perez Enez | Dentist | 8320 W Sunrise Blvd Plantation, Plantation, FL 33322 | 2018-04-10 |
| 1134644537 | Gregs Recovery Group | Substance Abuse Rehabilitation Facility | 2045 N University Drive, Sunrise, FL 33322 | 2017-08-07 |
| 1538699640 | Enriquillo Bencosme | Contractor | 9350 Sunrise Lakes Blvd. Apt.110, Sunrise, FL 33322 | 2017-06-13 |
| 1346789633 | Herline Saintcius | Occupational Therapy Assistant | 2720 North Pines Rd Apt 107, Sunrise, Surise, FL 33322 | 2017-02-20 |
| 1649719378 | Dana Malzahn | Nurse Anesthetist, Certified Registered | 7700 West Sunrise Blvd, Plantation, FL 33322 | 2017-02-14 |
| 1548614134 | Melissa Bridges | Counselor | 8551 Sunrise Blvd, Suite 206, Plantation, FL 33322 | 2016-04-20 |
| 1386005353 | Laura Hutira | Physical Therapist | 1825 N Pine Island Rd, Plantation, FL 33322 | 2016-03-17 |
| Find all providers in zip 33322 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750882817 | Michelle Renee Altman | Technician/Technologist | 9180 W Commercial Blvd, Sunrise, FL 33351-4316 | 2018-02-23 |
| 1124455472 | Marty L Schiffman | Technician/Technologist | 10107 W. Oakland Pk Blvd, Sunrise, FL 33351 | 2013-10-02 |
| 1790706893 | Brian T Cigalotti | Technician/Technologist | 8259 Sunset Strip, Sunrise, FL 33322-3058 | 2006-07-22 |
| 1023582236 | National Vision Inc | Technician/Technologist | 13895 W Sunrise Blvd, Sunrise, FL 33323-3208 | 2019-01-22 |
| 1023477320 | Wal-mart Stores East, Lp | Technician/Technologist | 3306 N University Dr, Sunrise, FL 33351-6720 | 2016-02-15 |
| 1821200601 | Sunset Vision, Inc. | Technician/Technologist | 8259 Sunset Strip, Sunrise, FL 33322-3058 | 2007-05-04 |
| 1326131582 | Wal-mart Stores East, Lp | Technician/Technologist | 12555 W Sunrise Blvd, Sunrise, FL 33323-0900 | 2006-10-02 |
| 1861590994 | Sam's Club Optical | Technician/Technologist | 13550 W Sunrise Blvd, Sunrise, FL 33323-3902 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ||||
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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.