DR. KRISTINE THAO SAM (NPI# 1902329238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902329238 |
| Entity Type | Individual |
| Full Name | DR. KRISTINE THAO SAM |
| Credential | OD |
| Practice Address |
703 N Main St Kissimmee FL 34744-5265 |
| Mailing Address |
3601 Valleyview Dr Kissimmee FL 34746-2895 |
| Practice Telephone | 5043556026 |
| Mailing Telephone | 5043556026 |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC5446 | FL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 755 W Osceola Pkwy, Kissimmee, FL 347417565 | 4078700443 |
| Street Address |
703 N MAIN ST |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34744-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447243589 | Lawrence P Fuller | Optometrist | 703 N Main St, Kissimmee, FL 34744-5265 | 2005-08-24 |
| 1841706934 | Premier Vision LLC | Optometrist | 703 N Main St, Kissimmee, FL 34744-5265 | 2017-12-27 |
| 1154596948 | Dr Lawrence P Fuller Od | Optometrist | 703 N Main St, Kissimmee, FL 34744-5265 | 2008-04-23 |
| 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 |
| Find all providers in zip 34744 | ||||
| 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 |
|---|---|---|---|---|
| 1497305338 | National Vision Inc | Optometrist | 2811 E Irlo Bronson Memorial Hwy, Kissimmee, FL 34744-5604 | 2019-09-12 |
| 1861826679 | Kellie Thompson Bassion | Optometrist | 1303 E Vine St, Kissimmee, FL 34744-3642 | 2013-08-28 |
| 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 |
| Find all providers in KISSIMMEE | ||||
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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.