EYE CENTER OF NORTH FLORIDA P A (NPI# 1912002395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912002395 |
| Entity Type | Organization |
| Organization Name | EYE CENTER OF NORTH FLORIDA P A |
| Other Organization Name | PORT ST. JOE OFFICE |
| Practice Address |
528b 5th St Port St Joe FL 32456-1754 |
| Mailing Address |
2500 Martin Luther King Jr. Blvd Panama City FL 32405-4412 |
| Practice Telephone | 8502277266 |
| Practice Fax Number | 8502292595 |
| Mailing Telephone | 8507843937 |
| Mailing Fax Number | 8505229829 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2010-03-25 |
| Authorized Official Name | MS. KATHI NICHOLS (OFFICE MANAGER) |
| Authorized Official Telephone | 8507843937 |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE CENTER OF NORTH FLORIDA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers | ||
| 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 | ||
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RR MEDICARE | CG6943 | 01 |
| FL | BLUE CROSS & BLUE SHIELD | 45154C | 01 |
| FL | GROUP NPI | 1740213529 | 01 |
| FL | 257952901 | 05 |
| Other Name | Type Code |
|---|---|
| Port St. Joe Office | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1740213529 | Eye Center of North Florida P A | Eyewear Supplier (Equipment, not the service) | 2500 Martin Luther King Jr Blvd, Panama City, FL 32405-4412 | 2006-07-08 |
| Street Address |
528B 5TH ST |
| City | PORT ST JOE |
| State | FL |
| Zip Code | 32456-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609379825 | Melanie Q Larry | Case Manager/Care Coordinator | 212 W. Highway 98, Suite C Town Center Plaza, Port St. Joe, FL 32456 | 2018-03-14 |
| 1972029833 | Tem Medical | Internal Medicine | 220 9th Street, Port St Joe, FL 32456 | 2017-08-22 |
| 1770018731 | Gulf County Association for Retarded Citizens, Inc. | Non-emergency Medical Transport (VAN) | 122 Water Plant Road, Port St Joe, FL 32456 | 2017-04-27 |
| 1477815488 | Patricia J Mitchell | Nurse Practitioner | 256 Canal Street, Port Saint Joe, FL 32456 | 2012-06-14 |
| 1407135296 | Chrystal R Cox | Occupational Therapist | 6801 Us Highway 98, Port St. Joe, FL 32456 | 2011-08-10 |
| 1467662957 | William Rex Buzzett | Pharmacist | 302 Cecil G Costin Blvd, Port St Joe, FL 32456 | 2007-05-23 |
| 1831293802 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 110 Hwy 98, Port Saint Joe, FL 32456 | 2006-09-12 |
| 1427160571 | Shoreline Medical Group, P.a. | Internal Medicine | 419 Baltzell Ave, Port St Joe, FL 32456 | 2006-08-31 |
| 1851403992 | Elizabeth F Curry | Pediatrics | 3871 E Highway 98 Ste 201, Port St Joe, FL 32456 | 2006-08-31 |
| 1891715702 | Champion Medical Equipment Rental &sales LLC | Durable Medical Equipment & Medical Supplies | 324 Long Ave Port St, Joe, FL 32456 | 2006-07-20 |
| Find all providers in zip 32456 | ||||
| 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] |
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| 1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
| 1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
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| 1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
| 1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
| 1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
| 1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
| 1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
| City | PORT ST JOE |
| Zip Code | 32456 |
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.