GREGORY L HENDERSON MD FACS INC (NPI# 1144214552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1144214552 |
Entity Type | Organization |
Organization Name | GREGORY L HENDERSON MD FACS INC |
Other Organization Name | FLORIDA EYE SPECIALISTS AND CATARACT INSTITUTE |
Practice Address |
135 W Robertson St Brandon FL 33511-5111 |
Mailing Address |
403 Vonderburg Dr Brandon FL 33511-5982 |
Practice Telephone | 8136850001 |
Practice Fax Number | 8136850008 |
Mailing Telephone | (813) 681-1122 |
Mailing Fax Number | 8136844924 |
Enumeration Date | 2005-08-31 |
Last Update Date | 2017-09-11 |
Authorized Official Name | MR. GREGORY L HENDERSON SR. (PRESIDENT) |
Authorized Official Telephone | 8136811122 |
Authorized Official Credential | MD |
Is Organization Subpart | Y |
Parent Organization Name | GREGORY L HENDERSON MD FACS INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 0609838-03 | 05 | |
FL | 060983803 | 05 |
Other Name | Type Code |
---|---|
Florida Eye Specialists and Cataract Institute | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821082249 | Gregory L Henderson Md Facs Inc | Optometrist | 1701 Rickenbacker Dr., Ste 102, Sun City Center, FL 33573-5361 | 2005-08-31 |
1306839725 | Gregory L Henderson Md Facs Inc | Optometrist | 403 Vonderburg Dr, Brandon, FL 33511-5982 | 2005-08-31 |
1306830799 | Gregory L Henderson Md Facs Inc | Ophthalmology | 612 N Tamiami Trl, Ruskin, FL 33570-3769 | 2005-08-31 |
Street Address |
135 W ROBERTSON ST |
City | BRANDON |
State | FL |
Zip Code | 33511-5111 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
Find all providers in zip 33511 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326282013 | Jose Perez Gonzalez De Apodaca | Ophthalmology | 206 Buckingham Pl Ste 102, Brandon, FL 33511-4910 | 2009-04-24 |
1477745552 | Advanced Care Eye Center Limited Liability Company | Ophthalmology | 325 S Parsons Ave, Brandon, FL 33511-5228 | 2007-08-13 |
1346328622 | Byron Edward Holley | Ophthalmology | 1011 Cherwood Ln, Brandon, FL 33511-6334 | 2006-11-02 |
1821020470 | Jacqueline Jordan Scott | Ophthalmology | 1463 Oakfield Dr, Suite 113, Brandon, FL 33511 | 2006-07-06 |
1316931066 | Richard W. Pharr M.d.pa | Ophthalmology | 1490 West Government Street Suite 8, Richard W Pharr M.d. Pa, Brandon, MS 39042 | 2005-09-08 |
1861499097 | Laurie J Anglin | Ophthalmology | 403 Vonderburg Dr, Ste 101, Brandon, FL 33511-5982 | 2005-07-01 |
1699771873 | Lawrence Carol Taylor Jr. | Ophthalmology | 540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 | 2005-06-22 |
1912902487 | Neal A Honickman | Ophthalmology | 540 Medical Oaks Ave Ste 103, Brandon, FL 33511-5995 | 2005-06-20 |
1770826745 | Frances Jacinto Acosta | Ophthalmology | 206 Buckingham Pl Ste 102, Brandon, FL 33511-4910 | 2013-03-28 |
1770859092 | George H Fisher II | Ophthalmology | 540 Medical Oaks Ave Ste 103, Brandon, FL 33511-5995 | 2012-03-30 |
Find all providers in BRANDON |
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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.