EASTGATE VISION CENTER (NPI# 1689845471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689845471 |
| Entity Type | Organization |
| Organization Name | EASTGATE VISION CENTER |
| Practice Address |
164 Hwy 17 South Suite 12-c Eastgate Vision Center East Palatka FL 32131 |
| Mailing Address |
164 Hwy 17 South Suite 12-c East Palatka FL 32131 |
| Practice Telephone | 3863282008 |
| Practice Fax Number | 3863282008 |
| Mailing Telephone | 3863282008 |
| Mailing Fax Number | 3863282008 |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2010-09-24 |
| Authorized Official Name | MRS. MARSHA LYNN ROACH (OPTICIAN) |
| Authorized Official Telephone | 3863282008 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
D01128 | FL | Eye and Vision Services Providers |
| Street Address |
164 HWY 17 SOUTH SUITE 12-C EASTGATE VISION CENTER |
| City | EAST PALATKA |
| State | FL |
| Zip Code | 32131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023619236 | William Garnett Newton | Dentist | 128 Yelvington Rd., East Palatka, FL 32131 | 2020-11-04 |
| 1972714632 | Imraan Ansaarie | Internal Medicine | 215 Hwy 17s, East Palatka, FL 32131 | 2007-05-24 |
| 1861677601 | Michael Joseph Look | Family Medicine | 199 South Highway 17, Suite B, East Palatka, FL 32131-0000 | 2007-12-28 |
| 1639669823 | Sonya Methvin | Licensed Practical Nurse | 455 Yelvington Rd, East Palatka, FL 32131-2108 | 2018-05-14 |
| 1043322209 | Carl Keith Collier | Physical Therapist | 110 Hilty Ln, East Palatka, FL 32131-4004 | 2006-08-31 |
| 1669847539 | Smb Nurse Consultant Service,pllc | Nursing Care | 225 Moritani Point Rd, East Palatka, FL 32131-4010 | 2015-12-03 |
| 1861915829 | Michele Lorraine Davis | Developmental Therapist | 138 E Saint Johns Ter, East Palatka, FL 32131-4028 | 2017-07-21 |
| 1215123278 | Stephanie Nichole Lincoln | Counselor | 213 S Us Highway 17, East Palatka, FL 32131-4087 | 2007-09-23 |
| 1346791498 | Ansaarie Cardiac & Endovascular Center of Excellence | Internal Medicine | 215 Hwy 17s, East Palatka, FL 32131-4087 | 2016-10-24 |
| 1871767533 | Dennis Seigler | Chiropractor | 213 S Us Highway 17, East Palatka, FL 32131-4087 | 2008-04-14 |
| Find all providers in zip 32131 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| 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 | ||||
| City | EAST PALATKA |
| Zip Code | 32131 |
Please comment or provide details below to improve the information on EASTGATE VISION CENTER.
| 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.