ST CLOUD EYE CENTER INC (NPI# 1922632066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922632066 |
| Entity Type | Organization |
| Organization Name | ST CLOUD EYE CENTER INC |
| Other Organization Name | EYE FLORIDA |
| Practice Address |
4589 Henry C Yates Lane Saint Cloud FL 34769-3476 |
| Mailing Address |
1330 Budinger Ave Ste 200 Saint Cloud FL 34769-4137 |
| Practice Telephone | 5619067908 |
| Mailing Telephone | 4078912010 |
| Enumeration Date | 2020-02-27 |
| Last Update Date | 2020-02-27 |
| Authorized Official Name | LY THI NGUYEN (CEO) |
| Authorized Official Telephone | 4078912010 |
| Is Organization Subpart | Y |
| Parent Organization Name | ST CLOUD EYE CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Eye Florida | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1121 Miranda Ln, Kissimmee, FL 347410763 | 4078912010 | |
| 1330 Budinger Ave Ste 200, Saint Cloud, FL 347694137 | 4078912010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215276449 | St Cloud Eye Center Inc | Ophthalmology | 10727 Narcoossee Rd, Orlando, FL 32832-6943 | 2013-02-07 |
| 1457509531 | St Cloud Eye Center Inc | Ophthalmology | 4589 H. C. Yates Lane, St Cloud, FL 34769 | 2008-09-03 |
| Street Address |
4589 HENRY C YATES LANE |
| City | SAINT CLOUD |
| State | FL |
| Zip Code | 34769-3476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877506 | Premier Med Pa | Clinic/Center | 2906 17th St., St Cloud, FL 34769 | 2019-02-20 |
| 1760975387 | Mayra Rosado | Psychologist | Carrousel Therapy Center, 3201 Budinger Ave., Saint Cloud, FL 34769 | 2018-06-08 |
| 1598282113 | Salud Urgent Care LLC | Clinic/Center | 3107 13th Street, Saint Cloud, FL 34769 | 2017-08-24 |
| 1710332671 | American Healthcare Community Behavioral Services LLC | Social Worker | 1203 Florida Ave., St. Cloud, FL 34769 | 2016-04-28 |
| 1215395785 | Elite Garden | Assisted Living Facility | 4319 Neptune Road, St Cloud, FL 34769 | 2016-01-29 |
| 1336506732 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 4660 13th Street, St. Cloud, FL 34769 | 2016-01-15 |
| 1306202064 | Megan Rose Mcclave | Registered Nurse | 524 13th Street, St. Cloud, FL 34769 | 2016-01-12 |
| 1821473133 | Angela Creager | Counselor | 446 Hamilton Park Circle, St. Cloud, FL 34769 | 2015-07-28 |
| 1730574906 | Jordico LLC | Assisted Living Facility | 4417 13th Street, Suite 142, Saint Cloud, FL 34769 | 2015-04-03 |
| 1255731667 | Judimar Rodriguez | Behavioral Analyst | 1605 Eastern Ave, Saint Cloud, FL 34769 | 2014-09-04 |
| Find all providers in zip 34769 | ||||
| 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 |
|---|---|---|---|---|
| 1790228294 | Eye Associates of Central Minnesota Pa | Ophthalmology | 628 Roosevelt Rd, Suite 101, Saint Cloud, MN 56301-4867 | 2016-12-01 |
| 1518352210 | St. Cloud Eye Center, Inc | Ophthalmology | 4589 Henry C Yates Ln, Saint Cloud, FL 34769-6764 | 2015-03-31 |
| 1609814920 | Mark Thomas Moberg | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-06-02 |
| 1447298443 | Mitchell Vincent Gossman | Ophthalmology | 628 Roosevelt Rd Ste 101, Saint Cloud, MN 56301-4867 | 2006-06-02 |
| 1922006337 | Jose A Flores Guevara | Ophthalmology | 4589 Henry C. Yates Lane, Saint Cloud, FL 34769 | 2005-07-09 |
| 1043650575 | Joel W Nelson | Ophthalmology | 2055 15th St N, Saint Cloud, MN 56303-1747 | 2013-06-28 |
| 1154352979 | Eye Surgeons & Physicians Pa | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-07-06 |
| 1255371175 | James Evan Heeter | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-06-08 |
| 1073553996 | Andrea Christine Joplin | Ophthalmology | 628 Roosevelt Rd Ste 101, Saint Cloud, MN 56301-4867 | 2006-06-08 |
| 1093755969 | John Andrew Dvorak | Ophthalmology | 109 Doctors Park, Saint Cloud, MN 56303 | 2006-06-07 |
| Find all providers in SAINT CLOUD | ||||
| City | SAINT CLOUD |
| Zip Code | 34769 |
Please comment or provide details below to improve the information on ST CLOUD EYE CENTER INC.
| 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.