SECOND SIGHT REHAB PA (NPI# 1063420172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063420172 |
| Entity Type | Organization |
| Organization Name | SECOND SIGHT REHAB PA |
| Practice Address |
4101 Nw 89th Blvd Shands Rehabilitation Hospital Gainesville FL 32606-3813 |
| Mailing Address |
62 Turkey Crk Alachua FL 32615-9500 |
| Practice Telephone | 3522655491 |
| Practice Fax Number | 3522655431 |
| Mailing Telephone | 8325419186 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2007-12-17 |
| Authorized Official Name | STEPHANIE SCHMIEDECKE (OPTOMETRIST, PRESIDENT) |
| Authorized Official Telephone | 8325419186 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WL0500X |
Optometrist Specialization: Low Vision Rehabilitation |
Eye and Vision Services Providers |
| Street Address |
4101 NW 89TH BLVD SHANDS REHABILITATION HOSPITAL |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32606-3813 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104446822 | Anu Stephen | Student in an Organized Health Care Education/Training Program | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2020-04-22 |
| 1790304806 | Minyi Lin | Student in an Organized Health Care Education/Training Program | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2020-04-09 |
| 1598222739 | Velecia Tashana Cooke | General Practice | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2019-02-25 |
| 1285012807 | Larissa Nichols | Behavioral Analyst | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2015-05-14 |
| 1073991774 | Corrina O'bright-kelly | Psychiatric Hospital | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2015-05-13 |
| 1346520343 | Deagan Daryl Watson | Psychiatric Hospital | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2011-08-22 |
| 1245401504 | Tamara Duckworth Warner | Clinical Neuropsychologist | 4101 Nw 89th Blvd, Gainesville, FL 32606 | 2008-03-14 |
| 1104025543 | Sheryl Anne Conner | Social Worker | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2007-07-16 |
| 1275737488 | Carol Lewis | Psychologist | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2007-06-12 |
| 1386711315 | University of Florida | Psychiatric Hospital | 4101 Nw 89th Blvd, Gainesville, FL 32606-3813 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326652389 | Michael James Watkins | Massage Therapist | 6418 Nw 39th Ave, Gainesville, FL 32606 | 2020-09-06 |
| 1073134813 | Sun View Counseling LLC | Counselor | 3550 Nw 87 Ter., Gainesville, FL 32606 | 2020-05-04 |
| 1588283568 | Jeena Kar | Student in an Organized Health Care Education/Training Program | Uf Psychiatry Residency Training, 4101 Nw 89th Boulevard, Rm 1796, Gainesville, FL 32606 | 2020-04-10 |
| 1467917864 | Marquetta Lee | Social Worker | 2772 Nw 43rd St, Ste C, Gainesville, FL 32606 | 2019-02-10 |
| 1376025742 | Jacob Sanow | Student in an Organized Health Care Education/Training Program | 5200 Nw 43rd St Unit 401, Gainesville, FL 32606 | 2018-09-03 |
| 1750878393 | Taylor Brown | Occupational Therapist | 3850 Nw 83rd St # 201, Gainesville, FL 32606 | 2018-04-19 |
| 1568914471 | Bernard Mitchll | Behavior Technician | 3515 Nw 60th Terrace, Gainesville, FL 32606 | 2016-10-26 |
| 1760839534 | Nancy Christiana Collins | Counselor | 4907 Nw 43rd St C., Gainesville, FL 32606 | 2016-05-20 |
| 1730553140 | Dawn Johnson O'byrne | Counselor | 4041 Nw 37th Place, Suite A, Gainesville, FL 32606 | 2015-11-23 |
| 1225424815 | Dianne Voitle | Acupuncturist | 2727b N.w. 43rd St. Suite 8, Gainesville, FL 32606 | 2015-04-09 |
| Find all providers in zip 32606 | ||||
| Taxonomy Code | 152WL0500X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Low Vision Rehabilitation |
| Optometrists who specialize in low-vision care having training to assess visual function, prescribe low-vision devices, develop treatment plans, and recommend other vision rehabilitation services. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740600790 | West Coast Eye Institute Pa | Optometrist | 212 S Apopka Ave, Inverness, FL 34452-4803 | 2014-04-17 |
| 1710257910 | Rebecca Irene Munjak | Optometrist | 10000 Bay Pines, Bay Pines, FL 33744-5005 | 2012-01-04 |
| 1669493219 | Harlyne Beth Knight-hantman | Optometrist | 17940 Military Trl Ste 400, Boca Raton, FL 33496-2411 | 2006-07-21 |
| 1619917374 | Rosemary Anne Carrera | Optometrist | 8100 Coral Way, Miami, FL 33155-1227 | 2006-06-08 |
| 1801858071 | Lighthouse of Pinellas Inc | Optometrist | 6925 112th Cir, Largo, FL 33773-5200 | 2006-04-04 |
| 1063489904 | Christopher R Choat | Optometrist | 215 E New Hampshire St, Orlando, FL 32804-6403 | 2006-02-28 |
| 1639660731 | Dayone | Optometrist | 8030 W Mcnab Rd, North Lauderdale, FL 33068-4226 | 2018-05-23 |
| 1770037186 | Salh Vision Enterprises Inc | Optometrist | 1400 S Orlando Ave, Suite 320, Winter Park, FL 32789-5543 | 2016-08-15 |
| 1063836625 | Schott Vision Care Pa | Optometrist | 600 S Orlando Ave, Suite 300, Maitland, FL 32751-5660 | 2014-02-18 |
| 1144566035 | Delva M Freeman | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2012-12-20 |
| Find all providers with the same taxonomy | ||||
| City | GAINESVILLE |
| Zip Code | 32606 |
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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.