MEDICAL CITY EYE CENTER PA (NPI# 1942609094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942609094 |
| Entity Type | Organization |
| Organization Name | MEDICAL CITY EYE CENTER PA |
| Practice Address |
214 E Marks St Orlando FL 32803-3819 |
| Practice Telephone | 4078416220 |
| Practice Fax Number | 4074232285 |
| Mailing Telephone | 4078416220 |
| Mailing Fax Number | 4074232285 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Authorized Official Name | MR. GARY R HARDEY (CEO) |
| Authorized Official Telephone | 3219843200 |
| Is Organization Subpart | Y |
| Parent Organization Name | BREVARD EYE CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OPC1134 | FL | Eye and Vision Services Providers |
| Street Address |
214 E MARKS ST |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205993078 | Drs Swanson Sowers Lee & Yager Pa | Optometrist | 214 E Marks St, Orlando, FL 32803-3819 | 2007-01-02 |
| 1376959916 | Brevard Eye Center | Specialist | 214 E Marks St, Orlando, FL 32803-3819 | 2014-07-03 |
| 1003122276 | Melisa Shannon Hockett | Optometrist | 214 E Marks St, Orlando, FL 32803-3819 | 2010-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821125436 | David J Feenstra | Optometrist | 8001 S Orange Blossom Trl Ste 600, Sears Optical 2nd Floor, Orlando, FL 32809-9128 | 2007-02-28 |
| 1104997386 | Joseph Nghi Vo | Optometrist | 4298 Millenia Blvd, Orlando, FL 32839-2432 | 2006-11-10 |
| 1063521201 | Nicole L Beedle | Optometrist | 519 N Mills Ave, Orlando, FL 32803-5313 | 2006-08-30 |
| 1700995933 | Jack J Yager | Optometrist | 7051 De Phillips Blvd, Suite 3, Orlando, FL 32819 | 2006-08-30 |
| 1588669238 | Stanley John Hallock | Optometrist | 5460 Curry Ford Rd, Orlando, FL 32812-8561 | 2005-06-19 |
| 1275804452 | Bob Yip, Od & Associates, Pa | Optometrist | 325 N Alafaya Trl, Orlando, FL 32828-7012 | 2012-01-20 |
| 1790066553 | Dr Byron W Leeds Od Pa | Optometrist | 11250 E Colonial Dr, Orlando, FL 32817-4537 | 2011-09-07 |
| 1003122276 | Melisa Shannon Hockett | Optometrist | 214 E Marks St, Orlando, FL 32803-3819 | 2010-08-26 |
| 1225231673 | Byron William Leeds | Optometrist | 11250 E Colonial Dr, Orlando, FL 32817-4537 | 2007-06-05 |
| 1679605257 | Bobby Yee Yip | Optometrist | 325 N Alafaya Trl, Orlando, FL 32828-7012 | 2007-03-10 |
| Find all providers in ORLANDO | ||||
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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.