ALL EYE CARE AT DAVIS, INC (NPI# 1700216090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700216090 |
| Entity Type | Organization |
| Organization Name | ALL EYE CARE AT DAVIS, INC |
| Practice Address |
63 Station Lndg Att. Dr Dzenana Idrizovic Medford MA 02155-5192 |
| Practice Telephone | 6035667463 |
| Mailing Telephone | 6035667463 |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2013-11-22 |
| Authorized Official Name | DR. DZENANA IDRIZOVIC (OPTOMETRY DOCTOR) |
| Authorized Official Telephone | 6035667463 |
| Authorized Official Credential | O. D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 4544 | MA | Eye and Vision Services Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | ALL EYE CARE AT DAVIS, INC. | 71 Moreland Street, Unit 2, Somerville, MA 02145 |
| Street Address |
63 STATION LNDG ATT. DR DZENANA IDRIZOVIC |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-5192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700498672 | Enian Kallamata | Optometrist | 63 Station Lndg, Medford, MA 02155-5192 | 2020-08-20 |
| 1386128593 | Hannah Marie Elaine Tennant | Optometrist | 63 Station Lndg, Medford, MA 02155-5192 | 2018-09-24 |
| 1447616859 | Katrina Winslade | Optometrist | 63 Station Lndg, Medford, MA 02155-5192 | 2016-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| 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 |
|---|---|---|---|---|
| 1417339359 | Angela Marie Dedionisio | Optometrist | 38 Rossanley Dr, Medford, OR 97501 | 2015-06-28 |
| 1508243239 | Bastian Eyecare Professionals | Optometrist | 12 Revere Pl, Medford, MA 02155-3903 | 2015-05-01 |
| 1518246883 | Yan Lu | Optometrist | 278 Middlesex Ave, Medford, MA 02155-5066 | 2011-08-04 |
| 1821307182 | Diane Marie Shaver | Optometrist | 1600 N Riverside Ave Unit 2027, Medford, OR 97501-4665 | 2010-10-04 |
| 1659491777 | Stephen Allen Barnes | Optometrist | 3639 Crater Lake Hwy, Medford, OR 97504-9259 | 2007-03-30 |
| 1700916251 | Wayne Leroy Knight | Optometrist | 120 Route 70, Medford, NJ 08055-9504 | 2007-03-06 |
| 1477692655 | Kimberly Tischner | Optometrist | 73 S Main Street, Medford, NJ 08055 | 2007-02-05 |
| 1164589230 | Steven Paul Mullins | Optometrist | 1740 Delta Waters Rd, Suite 100, Medford, OR 97504-9175 | 2007-01-02 |
| 1578625612 | Barry Andrew Clegg | Optometrist | 2352 Poplar Dr, Medford, OR 97504-5297 | 2006-12-14 |
| 1083786644 | Douglas Guy Smith | Optometrist | 585 Murphy Rd, Medford, OR 97504-8128 | 2006-11-15 |
| Find all providers in MEDFORD | ||||
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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.