JACK STEVEN DAUBERT (NPI# 1790784270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790784270 |
| Entity Type | Individual |
| Full Name | JACK STEVEN DAUBERT |
| Credential | MD |
| Practice Address |
1050 Se Monterry Rd Ste #104 Stuart FL 34994-4512 |
| Practice Telephone | 7722832020 |
| Practice Fax Number | 7722209582 |
| Mailing Telephone | 7722832020 |
| Mailing Fax Number | 7722209582 |
| Enumeration Date | 2005-07-18 |
| Last Update Date | 2012-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME0055247 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 062348200 | 05 | |
| MEDICARE RETIRED RAILROAD | 08501V | 01 | |
| MEDICARE RETIRED RAILROAD | 08501U | 01 | |
| FL | BCBS OF FLORIDA | 08501 | 01 |
| Street Address |
1050 SE MONTERRY RD STE #104 |
| City | STUART |
| State | FL |
| Zip Code | 34994-4512 |
| 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 | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659755486 | George Jackson | Ophthalmology | 5000 Se Burning Tree Cir, Stuart, FL 34997-8701 | 2015-07-10 |
| 1659529055 | Walid Mangal | Ophthalmology | 1050 Se Monterey Road, Suite #104, Florida Vision Institute Inc., Stuart, FL 34994 | 2008-08-28 |
| 1144484106 | Carrie Ann Palmer | Ophthalmology | 1441 Se Ocean Blvd, Stuart, FL 34996-2613 | 2008-07-17 |
| 1457384331 | Paul D Pare' | Ophthalmology | 304 Se Hospital Ave, Stuart, FL 34994-2338 | 2006-07-07 |
| 1861423899 | Scott Douglas Piette | Ophthalmology | 509 Se Riverside Dr Ste 302, Stuart, FL 34994-2579 | 2006-07-06 |
| 1164483301 | Quentin B Allen | Ophthalmology | 1050 Se Monterey Rd Ste 104, Stuart, FL 34994-4512 | 2006-03-29 |
| 1043283195 | Stuart Eye Institute Pa | Ophthalmology | 2090 Se Ocean Blvd, Stuart, FL 34996 | 2006-02-09 |
| 1053775346 | Ryan David O'meilia | Ophthalmology | 2090 Se Ocean Blvd, Stuart, FL 34996-3304 | 2016-04-12 |
| 1043680770 | Shuster Eye Pa | Ophthalmology | 2220 Se Ocean Blvd, Suite 101, Stuart, FL 34996-3301 | 2015-10-07 |
| 1528363397 | Leonard Berg | Ophthalmology | 417 Se Balboa Ave, Stuart, FL 34994-2327 | 2011-01-25 |
| 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.