EYE CENTER OF NORTH FLORIDA P A (NPI# 1740213529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740213529 |
| Entity Type | Organization |
| Organization Name | EYE CENTER OF NORTH FLORIDA P A |
| Other Organization Name | EYE CENTER OF NORTH FLORIDA |
| Practice Address |
2500 Martin Luther King Jr Blvd Panama City FL 32405-4412 |
| Practice Telephone | 8507843937 |
| Practice Fax Number | 8505229829 |
| Mailing Telephone | 8507843937 |
| Mailing Fax Number | 8505229829 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2012-11-09 |
| Authorized Official Name | DR. BRET L FISHER (PRESIDENT) |
| Authorized Official Telephone | 8507843937 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
Eye and Vision Services Providers | ||
| N | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers | ||
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
Eye and Vision Services Providers | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS & BLUE SHIELD | 45154 | 01 |
| FL | 257952900 | 05 | |
| FL | RR MEDICARE | CG6943 | 01 |
| Other Name | Type Code |
|---|---|
| Eye Center Of North Florida | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912002395 | Eye Center of North Florida P A | Eyewear Supplier (Equipment, not the service) | 528b 5th St, Port St Joe, FL 32456-1754 | 2006-09-13 |
| 1730284118 | Eye Center of North Florida P A | Optometrist | 10900 Hutchison Blvd, Panama City Beach, FL 32407-3712 | 2006-09-13 |
| 1194820571 | Eye Center of North Florida P A | Eyewear Supplier (Equipment, not the service) | 1400 Main St, Chipley, FL 32428-6943 | 2006-09-13 |
| 1447279369 | Eye Center of North Florida P A | Clinic/Center | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-19 |
| Street Address |
2500 MARTIN LUTHER KING JR BLVD |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32405-4412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174559660 | Bret L Fisher | Ophthalmology | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-06-25 |
| 1659772978 | Anita Smart | Occupational Therapist | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2014-09-05 |
| 1376774018 | Southern Eye Specialists PC | Ophthalmology | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2009-07-29 |
| 1447279369 | Eye Center of North Florida P A | Clinic/Center | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-19 |
| 1366467417 | James E Corry | Optometrist | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-12 |
| 1144245200 | David J Edinger | Optometrist | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-12 |
| 1003831165 | Mark S Jones | Optometrist | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-12 |
| 1649204355 | Jeffrey R Pyne | Ophthalmology | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-10 |
| 1295769040 | Paul E Garland | Ophthalmology | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-10 |
| 1174555619 | Anthony L Aker | Optometrist | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457962136 | Kimberlea Fox | Behavioral Analyst | 4750 Collegiate Drive, Technology Building 157, Panama City, FL 32405 | 2020-08-14 |
| 1598325714 | Covenant Home Health Care, LLC | Home Health | 107 W. 19th Street, Panama City, FL 32405 | 2019-06-19 |
| 1467921403 | Amy Hancock | Counselor | 1212 W. 19th St., Panama City, FL 32405 | 2018-11-20 |
| 1063991917 | Patricia Kagendo Mutunga | Day Training, Developmentally Disabled Services | 2813 Fairmont Dr, Panama City, FL 32405 | 2018-08-11 |
| 1871087882 | Southeastern Dermatology Group Pa | Pharmacy | 2505 Harrison Ave Ste A, Panama City, FL 32405 | 2018-06-22 |
| 1346733615 | Jessica Nicole Graham | Nurse Practitioner | 2507 Harrison Ave Unit 101, Panama City, FL 32405 | 2018-06-12 |
| 1437658424 | Coastal Mobility Transportation, LLC | Non-emergency Medical Transport (VAN) | 203 Forest Park Circle, Panama City, FL 32405 | 2018-02-06 |
| 1003314915 | The Anti-aging Clinic of Northwest Florida | Obstetrics & Gynecology | 3019 Osprey Cir, Panama City, FL 32405 | 2018-01-25 |
| 1255848487 | Sarah Theriot | Social Worker | 700 W 23rd St Bldg H, Panama City, FL 32405 | 2018-01-09 |
| 1336686054 | Angela Leake | Registered Nurse | 449 W 23 St, Panama City, FL 32405 | 2017-01-20 |
| Find all providers in zip 32405 | ||||
| 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 |
|---|---|---|---|---|
| 1124527320 | On-site Medical Providers | Optometrist | 6928 Bayou George Dr, Panama City, FL 32404-5013 | 2018-02-03 |
| 1215385364 | Stephanie Quesada Moore | Optometrist | 426 W 23rd St, Panama City, FL 32405-4508 | 2016-05-31 |
| 1932529310 | Binh Than | Optometrist | 1000 East 23th Street, Panama City, FL 32405 | 2014-04-23 |
| 1952559684 | William Payton Patterson | Optometrist | 1714 W 23rd St, Suite K, Panama City, FL 32405-2932 | 2008-09-06 |
| 1639229271 | Joseph M Bazarte | Optometrist | 1611 Lisenby Ave, Panama City, FL 32405-3711 | 2007-01-12 |
| 1164460069 | Advanced Eye Care of Bay County Pa | Optometrist | 2500 W 23rd St, Panama City, FL 32405-2349 | 2006-06-03 |
| 1144275314 | William M. Warneck Jr. | Optometrist | 2146 N Cove Blvd, Panama City, FL 32405-5319 | 2006-05-24 |
| 1851369367 | Rebecca Lynn Kennedy | Optometrist | 357 Bunkers Cove Rd, Panama City, FL 32401-3911 | 2006-03-09 |
| 1437148509 | Chequita Hilversum | Optometrist | 1000 E 23rd St Ste 1a, Panama City, FL 32405-5301 | 2005-10-20 |
| 1699764803 | Brenda Ann Wainwright | Optometrist | 851 E 23rd St, Panama City, FL 32405-5311 | 2005-10-19 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32405 |
Please comment or provide details below to improve the information on EYE CENTER OF NORTH FLORIDA P A.
| 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.