DR. LARISSA DVORAK (NPI# 1053631135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053631135 |
| Entity Type | Individual |
| Full Name | DR. LARISSA DVORAK |
| Credential | OD |
| Practice Address |
1590 Dunlawton Ave Port Orange FL 32127-4752 |
| Mailing Address |
6715 Ferri Cir Port Orange FL 32128-6031 |
| Practice Telephone | 3867561900 |
| Practice Fax Number | 3867568133 |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC3433 | FL | Eye and Vision Services Providers |
| Street Address |
1590 DUNLAWTON AVE |
| City | PORT ORANGE |
| State | FL |
| Zip Code | 32127-4752 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033136411 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1590 Dunlawton Ave, Port Orange, FL 32127-4752 | 2006-07-16 |
| 1912507377 | Mathew Shaw | Pharmacist | 1590 Dunlawton Ave, Port Orange, FL 32127-4752 | 2020-10-27 |
| 1972872257 | Neil Mahesh Patel | Pharmacist | 1590 Dunlawton Ave, Port Orange, FL 32127-4752 | 2011-12-15 |
| 1851512073 | William Joseph Lagatta | Optometrist | 1590 Dunlawton Ave, Port Orange, FL 32127-4752 | 2007-05-02 |
| 1902997448 | Wal-mart Stores East, Lp | Technician/Technologist | 1590 Dunlawton Ave, Port Orange, FL 32127-4752 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918179 | Karen Lugo Morales | Massage Therapist | 1394 Dunlawton Ave, Apartment 505, Port Orange, FL 32127 | 2020-09-30 |
| 1265952568 | Compass Nutrition LLC | Dietitian, Registered | 840 Angelina Court, Port Orange, FL 32127 | 2017-06-27 |
| 1942730544 | Ambili Gopinathan Nair | Nurse Anesthetist, Certified Registered | 6216 Morning Drive, Port Orange, FL 32127 | 2017-06-15 |
| 1649707993 | Jill Lynn Sheldon | Social Worker | 3959 South Nova Road, Suiteb15, Port Orange, FL 32127 | 2017-05-17 |
| 1003350620 | Irene A Zachry | Interpreter | 6239 Yellowstone Dr. Port Orange Fl, Port Orange, FL 32127 | 2016-12-16 |
| 1427460328 | Jonathan Ivan Rodriguez Arocho | Chiropractor | 940 Village Trail, Unit 4-105, Port Orange, FL 32127 | 2014-05-27 |
| 1982015913 | Adventist Health System/sunbelt, Inc. | Clinic/Center | 1208 Dunlawton Ave, Port Orange, FL 32127 | 2014-05-13 |
| 1699105288 | Counseling & Consultation, Corp. | Early Intervention Provider Agency | 3959 S. Nova Rd., Suite 14, Port Orange, FL 32127 | 2013-11-18 |
| 1427484773 | Usv Optical Inc. | Technician/Technologist | 1800 Dunlawton Ave., Port Orange, FL 32127 | 2013-09-18 |
| 1104194018 | Jinny E Ruhlman | Marriage & Family Therapist | 4725 Dixie Dr, Ponce Inlet, FL 32127 | 2011-12-06 |
| Find all providers in zip 32127 | ||||
| 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 |
|---|---|---|---|---|
| 1639489883 | Dr. Michael Hay and Associates, LLC | Optometrist | 5517 S. Williamson Blvd., #310, Port Orange, FL 32128 | 2010-10-20 |
| 1043462914 | Blahnik Eye Care Inc | Optometrist | 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129-3510 | 2008-10-22 |
| 1891958963 | Broome Vision Inc. | Optometrist | 3781o S Nova Rd Ste O, Port Orange, FL 32129-4233 | 2008-07-08 |
| 1598984676 | Total Vision of Port Orange, Inc. | Optometrist | 5820 S Williamson Blvd Ste 106, Port Orange, FL 32128-6400 | 2007-04-25 |
| 1912097353 | Daytona Vision Center Inc | Optometrist | 733 Dunlawton Avenue, Suite 101, Port Orange, FL 32127 | 2006-10-14 |
| 1982631792 | Frank Anthony Broome Jr. | Optometrist | 3781 S Nova Rd Ste O, Port Orange, FL 32129-4285 | 2006-06-27 |
| 1265488134 | Gregory T Kipp | Optometrist | 3820 S Nova Rd, Port Orange, FL 32127-4949 | 2006-05-25 |
| 1619927118 | Suzette Ann Blahnik | Optometrist | 3740 S Ridgewood Ave Unit 103, Port Orange, FL 32129-3519 | 2006-05-12 |
| 1265424188 | Kirsten Reed Wilgers | Optometrist | 5820 Williamson Blvd, Suite 106, Port Orange, FL 32128-6100 | 2005-08-17 |
| 1992258461 | Robert Cyrus Phyfer | Optometrist | 1771 Dunlawton Ave, Port Orange, FL 32127-4757 | 2016-08-01 |
| Find all providers in PORT ORANGE | ||||
| City | PORT ORANGE |
| Zip Code | 32127 |
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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.