KELLIE THOMPSON BASSION


Address: 1303 E Vine St, Kissimmee, FL 34744-3642
Phone: 4078702020

KELLIE THOMPSON BASSION (NPI# 1861826679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861826679
Entity Type Individual
Full Name KELLIE THOMPSON BASSION
Credential O.D.
Practice Address 1303 E Vine St
Kissimmee
FL 34744-3642
Mailing Address 3200 S University Dr
Terry Building 1402
Davie
FL 33328-2018
Practice Telephone 4078702020
Mailing Telephone 9542621402
Enumeration Date 2013-08-28
Last Update Date 2018-03-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPC4821 FL Eye and Vision Services Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
3200 S University Dr, Terry Building 1402, Davie, FL 333282018 9542621402

Office Location

Street Address 1303 E VINE ST
City KISSIMMEE
State FL
Zip Code 34744-3642

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891148268 Joseph P Nguyen Optometrist 1303 E Vine St, Kissimmee, FL 34744-3642 2016-07-20
1619327905 William Rafael Roberts Optometrist 1303 E Vine St, Kissimmee, FL 34744-3642 2016-06-16
1922479971 Myeyedr Optometry of Florida, LLC Optometrist 1303 E Vine St, Kissimmee, FL 34744-3642 2015-10-16
1538570478 Eye Express, Inc Optometrist 1303 E Vine St, Kissimmee, FL 34744-3642 2014-05-14
1831509611 Phillips, Salomon & Parrish, Pa Optometrist 1303 E Vine St, Kissimmee, FL 34744-3642 2014-05-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003416843 Guidewell Emergency Medicine Doctors, LLC Clinic/Center 2465 N Orange Blossom Trail, Kissimmee, FL 34744 2020-10-30
1871126722 Orlando Therapy Services LLC Speech-Language Pathologist 2815 Flamvoyan Street, Kissimmee, FL 34744 2020-02-19
1083197941 Marilyn Mendez Behavior Technician 678 Cornestone Dr, Kissimmee, FL 34744 2018-09-07
1255827309 St.cloud Pharmacy&wellness Center Pharmacy St.cloud Pharmacy & Wellness Center, 1503, Billbeck Blvd, Kissimmee, FL 34744 2018-07-02
1518454966 Nationwide Vision Center, LLC Technician/Technologist 2376 E Irlo Bronson Memorial Highway, Kissimmee, FL 34744 2018-04-20
1831698661 Ramirez and Poulos M.d. P.a. Ophthalmology 809 E. Oak St, Suite - 202, Kissimmee, FL 34744 2018-02-07
1548702517 Laura L Wheeler Counselor 600 N Thacker, D63, Kissimmee, FL 34744 2016-11-08
1275992950 Judith Ambrose Case Management 1320 N Main Street, Suite B, Saint Cloud, FL 34744 2016-02-23
1043685258 Oreida Hernandez De Morissette Case Management 809 E. Oak Street, Suite 106, Kissimmee, FL 34744 2015-12-14
1780062232 Martin Alfredo Rosell Hearing Instrument Specialist 806 N Main Street, Kissimmee, FL 34744 2015-05-15
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Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497305338 National Vision Inc Optometrist 2811 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-5604 2019-09-12
1184944985 Jimmy Nguyen Optometrist 1204 N. John Young Pkwy, Kissimmee, FL 34741-4206 2010-06-03
1194041236 Carla Iris Caballero-ramos Optometrist 1204 N John Young Pkwy, Kissimmee, FL 34741-4206 2010-04-14
1447583950 Viviana Del C. Lopez Optometrist 1028 E Osceola Pkwy, Kissimmee, FL 34744-1607 2009-09-15
1871612408 Noel Henry Optometrist 2855 N Old Lake Wilson Road, Located Inside Walmart 5214, Kissimmee, FL 34747-1821 2007-03-28
1699800433 Jack Jon Mazlin Optometrist 1338 E Vine St, Kissimmee, FL 34744-3625 2007-02-22
1578630539 Susan Ann Driscoll Optometrist 3272 N John Young Pkwy, Kissimmee, FL 34741-7549 2006-11-28
1982797569 David Jon Mccoy Optometrist 1303 East Vine St, Kissimmee, FL 34744 2006-10-02
1053418186 Florida Optical Inc. Optometrist 1011 W Vine St, Kissimmee, FL 34741-4166 2006-09-20
1699888495 Melvin Charles Evers Optometrist 910 Emmett Street, Kissimmee, FL 34741 2006-08-16
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City KISSIMMEE
Zip Code 34744

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Dataset Information

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.

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