DR. JOHN TIVNAN (NPI# 1013911379) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013911379 |
| Entity Type | Individual |
| Full Name | DR. JOHN TIVNAN |
| Credential | O.D. |
| Practice Address |
407 Avenue K Se Winter Haven FL 33880-4126 |
| Practice Telephone | 8632943504 |
| Practice Fax Number | 8632990096 |
| Mailing Telephone | 8632943504 |
| Mailing Fax Number | 8632990096 |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 1060 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 078082100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518315142 | John Tivnan | Student in an Organized Health Care Education/Training Program | 300 2nd Ave, Long Branch, NJ 07740-6303 | 2016-05-24 |
| Street Address |
407 AVENUE K SE |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265434427 | Daniel Wayne Welch | Ophthalmology | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2005-06-01 |
| 1447788419 | Kirsti Ellen Roehm | Optometrist | 407 Avenue K Se, Winter Haven, FL 33880 | 2017-06-02 |
| 1770715484 | Aly Reza Sheraly | Ophthalmology | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2009-08-13 |
| 1013119692 | Larry Chumney | Technician/Technologist | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2007-06-05 |
| 1316029382 | Damon Eric Welch | Ophthalmology | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2006-10-19 |
| 1255447389 | William Enoch Sterling Jr. | Optometrist | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2006-08-22 |
| 1093733735 | Thomas W Hegland | Optometrist | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2006-07-18 |
| 1073549408 | Neil J Okun | Ophthalmology | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2006-06-25 |
| 1205827318 | William J Corkins | Optometrist | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2005-10-31 |
| 1366437162 | Eye Specialists of Mid Florida Pa | Ophthalmology | 407 Avenue K Se, Winter Haven, FL 33880 | 2005-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| 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 |
|---|---|---|---|---|
| 1255999355 | Levy John Varghese | Optometrist | 723 3rd St Sw, Winter Haven, FL 33880-3419 | 2019-06-03 |
| 1689160350 | Angeline Simeus | Optometrist | 215 1st St N Ste 100, Winter Haven, FL 33881-4507 | 2018-07-06 |
| 1558712158 | Christopher Hamilton | Optometrist | 410 Citi Ctr St, Winter Haven, FL 33880-3425 | 2016-06-24 |
| 1528340635 | Eye Express | Optometrist | 506 Avenue A Se, Winter Haven, FL 33880-3031 | 2011-09-14 |
| 1891986865 | Eye Doctors Optical Outlets Pa | Optometrist | 723 3rd Street Southwest, Winter Haven, FL 33880-3425 | 2007-08-06 |
| 1588728539 | Esaam El-dean Ismail | Optometrist | 410 Citi Ctr, Winter Haven, FL 33880-3425 | 2006-12-21 |
| 1407847585 | Kevin L Henne | Optometrist | 410 E Central Ave, Winter Haven, FL 33880-3050 | 2005-10-28 |
| 1255338513 | Richard B Lake | Optometrist | 6027 Cypress Gardens Blvd, Winter Haven, FL 33884-4115 | 2005-07-01 |
| 1801365945 | Ashley Rodgers | Optometrist | 215 1st St N, Winter Haven, FL 33881-4537 | 2018-11-19 |
| 1982170452 | Allison Marie Schneider | Optometrist | 410 E Central Ave, Winter Haven, FL 33880-3050 | 2018-10-22 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
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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.