DR. GLENN R SUDBURY (NPI# 1861572992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861572992 |
| Entity Type | Individual |
| Full Name | DR. GLENN R SUDBURY |
| Credential | OD |
| Practice Address |
4814 N Habana Ave Tampa FL 33614-6871 |
| Practice Telephone | 8138703942 |
| Practice Fax Number | 8138765338 |
| Mailing Telephone | 8138703942 |
| Mailing Fax Number | 8138765338 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1195 | FL | Eye and Vision Services Providers |
| Street Address |
4814 N HABANA AVE |
| City | TAMPA |
| State | FL |
| Zip Code | 33614-6871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346406246 | Slezak Colorectal Surgical Clinic | Specialist | 4814 N Habana Ave, Tampa, FL 33614-6871 | 2008-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134733082 | Robin Rollena Stewart | Home Health | 9537 Lazy Lane, Apt 302, Tampa, FL 33614 | 2020-09-08 |
| 1346885761 | David Joseph Page | Nurse Practitioner | St. Joseph's Behavioral Health Center, 4918 N. Habana Ave, Tampa, FL 33614 | 2019-11-08 |
| 1134687411 | Ramon Chang Adult Family Care Home LLC | Custodial Care Facility | 2607 W Humphrey St, Tampa, FL 33614 | 2019-03-06 |
| 1134600612 | Senior Point Assisted Living Facility, LLC | Assisted Living Facility | 2940 W Hillsborough Ave, Tampa, FL 33614 | 2018-08-23 |
| 1306361266 | Larry Valdes | Assisted Living Facility | 4402 W Minnehaha St, Tampa, FL 33614 | 2017-08-11 |
| 1982128062 | Jaime F Casellas Md Corp | Internal Medicine | 4600 N Habana Ave Suit #13, Tampa, FL 33614 | 2017-07-31 |
| 1891219119 | Waveney Gittens-williams | Alzheimer Center (Dementia Center) | 3706 W. Idle Wild Cir #203, Tampa, FL 33614 | 2017-07-28 |
| 1750811857 | Syerita Nicole Morris | Counselor | 6800 N Dale Marby Hwy, Ste 164, Tampa, FL 33614 | 2017-06-13 |
| 1447786124 | Lisa Moy | Case Manager/Care Coordinator | 4001 W. Dr. Martin Luther King Jr. Blvd., Tampa, FL 33614 | 2017-05-02 |
| 1750813804 | Joshua Martin Good | Physical Therapy Assistant | 3363 W. Waters Avenue, Suite 700, Tampa, FL 33614 | 2017-03-29 |
| Find all providers in zip 33614 | ||||
| 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 |
|---|---|---|---|---|
| 1396357240 | Myeyedr Optometry of Florida, LLC | Optometrist | 1108c S Dale Mabry Hwy, Tampa, FL 33629-5007 | 2020-08-21 |
| 1114539749 | National Vision Inc | Optometrist | 13620 University Plaza St, Tampa, FL 33613-4649 | 2020-08-17 |
| 1043821523 | Corinne Speight | Optometrist | 3201 S Dale Mabry Hwy Ste 105, Tampa, FL 33629-7800 | 2020-08-10 |
| 1922623461 | Joseph Gennaro Suriano | Optometrist | 5709 Johns Rd Ste 1209, Tampa, FL 33634-4315 | 2020-06-10 |
| 1760006449 | Chelsea Casaccia | Optometrist | 4407 W Vasconia St, Tampa, FL 33629-8325 | 2020-05-29 |
| 1124515705 | B&b Florida Eye Care Pllc | Optometrist | 8504 Citrus Park Dr, Tampa, FL 33625-3003 | 2018-04-18 |
| 1053808097 | Marianne Banales | Optometrist | 3030 N Rocky Point Dr W Ste 170, Tampa, FL 33607-7201 | 2018-04-16 |
| 1164935474 | Elevate Your Existence, LLC | Optometrist | 8150 Citrus Park Town Center Mall Spc 1100, Tampa, FL 33625-3181 | 2017-11-08 |
| 1952812497 | Newsom Eye & Laser Center, Inc. | Optometrist | 113 S Armenia Ave, Tampa, FL 33609-3307 | 2017-10-23 |
| 1235528134 | Matthew D. Helsing O.d., P.a. | Optometrist | 1108 S Dale Mabry Hwy, Suite C, Tampa, FL 33629-5007 | 2015-01-15 |
| Find all providers in TAMPA | ||||
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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.