DR. MICHAEL LEE FOGT (NPI# 1730172073) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730172073 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LEE FOGT |
| Credential | O.D. |
| Practice Address |
900 Se Ocean Blvd Suite 106a Stuart FL 34994-2471 |
| Practice Telephone | 7722872663 |
| Practice Fax Number | 7727816797 |
| Mailing Telephone | 7722872663 |
| Mailing Fax Number | 7727816797 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2009-03-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC980 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | DMERC | 4875080001 | 01 |
| Street Address |
900 SE OCEAN BLVD SUITE 106A |
| City | STUART |
| State | FL |
| Zip Code | 34994-2471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801411640 | Rudolph Manna | Behavior Technician | 900 Se Ocean Blvd, Stuart, FL 34994-2471 | 2020-06-08 |
| 1467949016 | Sleep Apnea Wellness Center LLC | Dentist | 900 Se Ocean Blvd, Bldg A Ste 102, Stuart, FL 34994 | 2018-04-19 |
| 1275075772 | Yvens Joseph | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1265974760 | Danielle Pearson | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1699217109 | Jeremy Rodriguez | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1063954550 | Samantha Finch | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1073055588 | Wendy Porter | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1720520224 | Bjorn James | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1043752553 | Catherine Lemay | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| 1588106090 | Marie Guignard | Behavior Technician | 900 Se Ocean Blvd, D130, Stuart, FL 34994-2471 | 2016-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912543711 | Prestige Medical Billing. Inc | Durable Medical Equipment & Medical Supplies | 2678 Se Willoughby Blvd, Stuart, FL 34994 | 2019-11-27 |
| 1780229203 | Katherine Ginn | Occupational Therapist | 809 Se Central Parkway, Stuart, FL 34994 | 2019-11-07 |
| 1972167294 | Melissa Callaham Lcsw | Social Worker | 900 East Ocean Blvd., Suite D-130, Office 26, Stuart, FL 34994 | 2019-04-23 |
| 1053881300 | Spencer Perna | Chiropractor | 632 Se Monterey Rd., Stuart, FL 34994 | 2018-11-29 |
| 1720563521 | National Vision Inc | Technician/Technologist | 2600 Southeast Federal Highway, Stuart, FL 34994 | 2018-09-27 |
| 1649767351 | Frank Alario Md & Associates | Non-Pharmacy Dispensing Site | 721 South Colorado Avenue, Stuart, FL 34994 | 2018-04-18 |
| 1609305499 | Wideline Thelemaque-claire | Behavior Technician | 900 E Ocean Blvd, Suite 130d, Stuart, FL 34994 | 2017-06-06 |
| 1316488984 | Jessica Gaffney | Social Worker | 416 Se Balboa Ave., Suite 200, Stuart, FL 34994 | 2017-03-16 |
| 1578012035 | Essentials Medical Group, LLC | Internal Medicine | 2694 Se Willoughby Blvd, Stuart, FL 34994 | 2016-09-26 |
| 1356898324 | Waters Edge Dermatology Global LLC | Surgery | 2601 S Kanner Highway, Stuart, FL 34994 | 2016-09-07 |
| Find all providers in zip 34994 | ||||
| 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 |
|---|---|---|---|---|
| 1518504828 | National Vision Inc | Optometrist | 2610 Se Federal Hwy, Stuart, FL 34994-4535 | 2019-12-05 |
| 1174889927 | Daniel & Max | Optometrist | 2840 Nw Federal Hwy, Stuart, FL 34994-9253 | 2012-04-05 |
| 1083934772 | Ocular Care Professionals LLC | Optometrist | 424 S Western St, Stuart, IA 50250-2026 | 2010-06-04 |
| 1508078619 | Andrea E Carter O D P A | Optometrist | 4001 Se Federal Highway, Stuart, FL 34997 | 2007-05-03 |
| 1205955663 | Brad J Waronicki, O.d., P.a. | Optometrist | 2626 Se Willoughby Blvd, Stuart, FL 34994-4700 | 2007-03-28 |
| 1982738464 | Georgina Elena Araoz | Optometrist | 4211 Se Federal Hwy, 102c, Stuart, FL 34997 | 2007-03-15 |
| 1598797110 | Glenn Allan Valletta | Optometrist | 5066 Se Federal Hwy, Stuart, FL 34997-6627 | 2006-07-06 |
| 1477529527 | James A. Law | Optometrist | 797 Woodland Dr., Suite 101, Stuart, VA 24171 | 2006-02-28 |
| 1114911096 | Robert G Arick | Optometrist | 4625 Se Dixie Hwy, Stuart, FL 34997 | 2005-09-07 |
| 1720087737 | Rafael Angel Diaz | Optometrist | 1050 Se Monterey Rd, Ste 103, Stuart, FL 34994-4512 | 2005-07-20 |
| Find all providers in STUART | ||||
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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.