DR. CARL E DOUGHTY


Address: 1051 Pt Malabar Bv Ne, Suite 14, Palm Bay, FL 32905
Phone: 3217239350

DR. CARL E DOUGHTY (NPI# 1962594119) 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) 1962594119
Entity Type Individual
Full Name DR. CARL E DOUGHTY
Practice Address 1051 Pt Malabar Bv Ne
Suite 14
Palm Bay
FL 32905
Mailing Address 1051 Pt Malabar Bv Ne
Ste 14
Palm Bay
FL 32905
Practice Telephone 3217239350
Practice Fax Number 3217237397
Mailing Telephone 3217239350
Mailing Fax Number 3217237397
Enumeration Date 2006-09-28
Last Update Date 2009-06-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist OPC1078 FL Eye and Vision Services Providers

Office Location

Street Address 1051 PT MALABAR BV NE
SUITE 14
City PALM BAY
State FL
Zip Code 32905

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1881091254 Courtney Taft Physical Therapy Assistant 1155 Malabar Road, Suite 1, Palm Bay, FL 32905 2014-12-01
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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
1699266361 Coastal Visioncare LLC Optometrist 2186 Harris Ave Ne Ste 1, Palm Bay, FL 32905 2018-05-29
1619245644 Space Coast Eye Care Inc. Optometrist 1051 Port Malabar Blvd Ne Ste 14, Palm Bay, FL 32905-5153 2011-12-05
1114021771 Jeanette Margarita Faulkner Optometrist 775 Huntington St Ne, Palm Bay, FL 32907-1412 2006-09-12
1568466803 James William Cobb Jr. Optometrist 2186 Harris Ave Ne, Ste 1, Palm Bay, FL 32905-4044 2005-06-01
1467753152 Bert Misner Od & Associates, Inc Optometrist 1040 Malabar Rd Se, Palm Bay, FL 32907-3251 2010-11-11
1225161094 William Albert Misner Optometrist 1040 Malabar Rd Se, Palm Bay, FL 32907-3251 2007-03-13
1568510816 Dr James W Cobb, Jr, Pa Optometrist 2186 Harris Ave Ne, Suite 1, Palm Bay, FL 32905-4044 2007-01-05
1366530727 Christopher Michael Allen Optometrist 1051 Port Malabar Blvd Ne, Palm Bay, FL 32905-5153 2006-10-11

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NPI Name Taxonomy Address Enumeration
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1902405822 Superior Eyes Optical, Inc Optometrist 6541 Superior Ave, Sarasota, FL 34231-5835 2020-10-21
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Competitor

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City PALM BAY
Zip Code 32905

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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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