DR. JESSE THOMAS MCCANN (NPI# 1124319066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124319066 |
| Entity Type | Individual |
| Full Name | DR. JESSE THOMAS MCCANN |
| Credential | MD PHD |
| Practice Address |
1360 E Venice Ave Venice FL 34285-9066 |
| Practice Telephone | 9414882020 |
| Practice Fax Number | 9414842200 |
| Mailing Telephone | 9414802135 |
| Mailing Fax Number | 9414842200 |
| Enumeration Date | 2011-04-26 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | ME132807 | FL | Allopathic & Osteopathic Physicians |
| Y | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
ME132807 | FL | Allopathic & Osteopathic Physicians |
| N | 207WX0107X |
Ophthalmology Specialization: Retina Specialist |
270516 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | FLORIDA BLUE | 4PPP5 | 01 |
| FL | 021181600 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, New York, NY 100166402 | 9176563646 |
| Street Address |
1360 E VENICE AVE |
| City | VENICE |
| State | FL |
| Zip Code | 34285-9066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326037391 | James Richard Lenhart | Optometrist | 1360 E Venice Ave, Venice, FL 34285-9066 | 2005-10-20 |
| 1144887357 | George Edward Hurwitz IIi | Optometrist | 1360 E Venice Ave, Venice, FL 34285-9066 | 2019-05-22 |
| 1619387370 | Joaquin De Rojas | Ophthalmology | 1360 E Venice Ave, Venice, FL 34285-9066 | 2014-05-04 |
| 1689946642 | Glasses Rx, LLC | Eyewear Supplier (Equipment, not the service) | 1360 E Venice Ave, Venice, FL 34285-9066 | 2012-02-06 |
| 1558672352 | Lindsey Willis Banks | Audiologist | 1360 E Venice Ave, Venice, FL 34285-9066 | 2010-06-25 |
| 1629143938 | Joseph William Sowka | Optometrist | 1360 E Venice Ave, Venice, FL 34285-9066 | 2006-11-21 |
| 1386718468 | Center for Sight, Pl | Optometrist | 1360 E Venice Ave, Venice, FL 34285-9066 | 2006-11-20 |
| 1861580078 | Center for Sight, Pl | Eyewear Supplier (Equipment, not the service) | 1360 E Venice Ave, Venice, FL 34285 | 2006-10-11 |
| 1912098906 | David Paul Mertzlufft | Optometrist | 1360 E Venice Ave, Venice, FL 34285-9066 | 2006-09-27 |
| 1497866602 | William J Lahners | Ophthalmology | 1360 E Venice Ave, Venice, FL 34285 | 2006-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972139871 | Safe Haven Counseling LLC | Clinic/Center | 333 S. Tamiami Trail, Suite 284, Venice, FL 34285 | 2020-03-23 |
| 1518445857 | American Eagle Venice Island LLC | Alzheimer Center (Dementia Center) | 1200 Avenida Del Circo, Venice, FL 34285 | 2018-07-30 |
| 1851886915 | Jafet Baxter | Nurse Practitioner | 333 South Tamiami Trail Suite 307, Venice, FL 34285 | 2018-06-29 |
| 1023538345 | Mary Laurie | Durable Medical Equipment & Medical Supplies | 234 Tamiami Trail S, Venice, FL 34285 | 2017-06-27 |
| 1689121584 | The Sky Family Ymca Inc. | Health Educator | 701 Center Rd, Venice, FL 34285 | 2016-09-08 |
| 1033576137 | Broy Enterprises Inc. | Durable Medical Equipment & Medical Supplies | 1205 U.S. 41 Bypass South, Venice, FL 34285 | 2016-01-20 |
| 1629444013 | George C Chamberlain | Hearing Instrument Specialist | 836 Pinebrook Rd Ste D5, Venice, FL 34285 | 2015-08-19 |
| 1801287123 | Cory O'neel | Pharmacist | 1229 Us Highway 41 Byp S, Venice, FL 34285 | 2015-02-09 |
| 1831516418 | Home Detox Inc | Counselor | 530 Us 41 Bypass So, Unit 12b, Venice, FL 34285 | 2014-03-21 |
| 1922440742 | Lynn Zittel | Occupational Therapist | 841 Venetia Bay Blvd, Venice, FL 34285 | 2013-07-22 |
| Find all providers in zip 34285 | ||||
| Taxonomy Code | 207WX0107X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Retina Specialist |
| An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases. |
| Notes: Source: American Society of Retina Specialists, www.asrs.org [1/1/2017: new] - Additional Resources: American Academy of Ophthalmology, www.aao.org. Macula Society, www.maculasociety.org. Retina Society, www.retinasociety.org. Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598253791 | Miami Eye & Retina, Inc | Ophthalmology | 4305 N Jefferson Ave, Miami Beach, FL 33140-2933 | 2018-04-24 |
| 1831608496 | Comprehensive Retina Consultants Pllc | Ophthalmology | 1501 N Us Highway 441 Ste 1106, The Villages, FL 32159-6800 | 2017-09-27 |
| 1538441811 | Pautler Cohen Findlay and Eichenbaum Mds Pa | Ophthalmology | 12903 N 56th St, Temple Terrace, FL 33617-1225 | 2011-09-13 |
| 1497076335 | Elizabeth R Richter | Ophthalmology | 3920 Bee Ridge Rd Bldg D, Sarasota, FL 34233-1207 | 2010-06-15 |
| 1013234624 | Christopher Roy Stelton | Ophthalmology | 3400 S Tamiami Trl Ste 101, Sarasota, FL 34239 | 2010-04-23 |
| 1457389447 | Mandeep Singh Dhalla | Ophthalmology | 6333 N Federal Hwy Ste 300, Fort Lauderdale, FL 33308 | 2006-06-29 |
| 1336144575 | Karina Billiris Findlay | Ophthalmology | 2705 W Saint Isabel St, Tampa, FL 33607-6319 | 2005-06-15 |
| 1659998482 | Don Hershelson Noel | Ophthalmology | 900 Nw 17th St, Miami, FL 33136-1119 | 2020-06-27 |
| 1457918625 | Gary Shienbaum Md Pa | Ophthalmology | 7261 Sheridan St Ste 100b, Hollywood, FL 33024-2708 | 2019-05-23 |
| 1235625039 | South Florida Retina Institute, Pllc | Ophthalmology | 20900 Ne 30th Ave Ste 207, Aventura, FL 33180 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
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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.