DR. DALE S JOHNSON (NPI# 1730344433) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730344433 |
| Entity Type | Individual |
| Full Name | DR. DALE S JOHNSON |
| Credential | O.D. |
| Practice Address |
983 W State Road 434 Longwood FL 32750-5103 |
| Practice Telephone | 4072610505 |
| Practice Fax Number | 4078314936 |
| Mailing Telephone | 4072610505 |
| Mailing Fax Number | 4078314936 |
| Enumeration Date | 2008-07-22 |
| Last Update Date | 2013-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 2675 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 621271900 | 05 | |
| FL | PREMIER EYECARE | 65054 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881171254 | Dale Johnson | Technician | 3900 Wheeler Rd Se Unit F, Washington, DC 20032-4376 | 2018-07-27 |
| 1427260595 | Dale Gilman Johnson | Surgery | 828 S California St, Helena, MT 59601-5669 | 2007-05-03 |
| 1669510525 | Dale J Johnson | Nurse Practitioner | 7 Wharf Road, Bolinas Family Practice, Bolinas, CA 94924 | 2007-02-02 |
| 1750474706 | Dale Alan Johnson | Dentist | 1717 W Church St, Freeport, IL 61032-4695 | 2006-10-02 |
| 1629029095 | Dale Johnson | Optometrist | 724 Cedar St, Sault Sainte Marie, MI 49783-2410 | 2006-05-12 |
| 1235189143 | Dale S. Johnson | Ophthalmology | 1319 Vivian St, Longmont, CO 80501-3216 | 2006-05-11 |
| 1447211404 | Dale Alan Johnson | Family Medicine | 820 Summit Ave, Prohealth Care Medical Associates Fp, Oconomowoc, WI 53066-3973 | 2006-03-30 |
| 1932647070 | Dale Johnson | Specialist/Technologist, Other | 7324 Southwest Fwy, Suite 1550, Houston, TX 77074-2012 | 2017-02-09 |
| 1508236928 | Dale Johnson | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2015-09-28 |
| 1366677890 | Dale D Johnson | Occupational Therapist | 915 Horton St, Fort Scott, KS 66701-2437 | 2009-05-28 |
| Street Address |
983 W STATE ROAD 434 |
| City | LONGWOOD |
| State | FL |
| Zip Code | 32750-5103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427177039 | Dale S Johnson Od Pa | Optometrist | 983 W State Road 434, Longwood, FL 32750-5103 | 2007-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902420920 | Prn Speech Pathologists | Speech-Language Pathologist | 1704 N. Ronald Reagan Blvd, Longwood, FL 32750 | 2020-06-05 |
| 1831743368 | Shamar Anthony Marston | Nurse Anesthetist, Certified Registered | 555 W Fl - 434, Longwood, FL 32750 | 2019-08-01 |
| 1538639125 | Omega Healthcare Solutions, LLC | Case Management | 160 W. Evergreen Avenue Suite 290, Longwood, FL 32750 | 2018-11-27 |
| 1013416080 | Samantha Jane Roberts | Specialist/Technologist, Other | 163 W Bay Ave, Longwood, FL 32750 | 2018-02-06 |
| 1508375874 | Cassandra Thompson-bailey | Nurse Practitioner | 600 N Us Hwy 17 92, Suite 124, Longwood, FL 32750 | 2017-09-29 |
| 1740799535 | Cornerstone Longwood Leasing, LLC | Assisted Living Facility | 480 E. Church Ave., Longwood, FL 32750 | 2017-09-25 |
| 1659890523 | Melissa Shoshana Vigerito | Marriage & Family Therapist | 978 Douglas Ave. Suite 100, Altamonte Springs, FL 32750 | 2017-09-12 |
| 1619498185 | Calm Relief, LLC | Massage Therapist | 1855 W State Road 434, Ste 253, Longwood, FL 32750 | 2017-07-05 |
| 1497145148 | Caitlin Rhea Hilligas | Counselor | 300 N Ronald Reagan Blvd Ste 302, Longwood, FL 32750 | 2015-02-03 |
| 1316344054 | James David Rawlins Jr. | Dentist | 1250 W.s.r 434 Ste. 1008, Longwood, FL 32750 | 2014-11-24 |
| Find all providers in zip 32750 | ||||
| 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 |
|---|---|---|---|---|
| 1508264193 | Whitney Roberson Miranda | Optometrist | 1495 W State Road 434 Ste 109, Longwood, FL 32750-3861 | 2014-12-12 |
| 1427177039 | Dale S Johnson Od Pa | Optometrist | 983 W State Road 434, Longwood, FL 32750-5103 | 2007-03-28 |
| 1043312622 | Christopher Pearson | Optometrist | 105 E Lake Brantley Dr, Longwood, FL 32779-4806 | 2006-09-02 |
| 1629060751 | Marc H Sherman | Optometrist | 1495 W State Road 434, Suite 109, Longwood, FL 32750-3847 | 2005-08-16 |
| 1073764817 | Marc H Sherman Od Pa | Optometrist | 1495 W State Road 434, Suite 109, Longwood, FL 32750-3861 | 2008-10-09 |
| 1598822249 | Omega Vision Center Pa | Optometrist | 105 E Lake Brantley Dr, Longwood, FL 32779-4806 | 2007-01-02 |
| 1497716385 | William Leroy Thomas | Optometrist | 1495 W State Road 434, Suite 109, Longwood, FL 32750-3847 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
| 1376142828 | Edyta H Bogusz | Optometrist | 13073 Overstreet Rd, Windermere, FL 34786-6602 | 2020-10-25 |
| 1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
| 1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
| 1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
| 1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
| 1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
| 1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
| 1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| 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.