EDUARDO ALEJANDRO BUSTAMANTE JR. (NPI# 1154711513) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154711513 |
| Entity Type | Individual |
| Full Name | EDUARDO ALEJANDRO BUSTAMANTE JR. |
| Credential | MD |
| Practice Address |
1070 Greenwood Blvd Lake Mary FL 32746-5404 |
| Mailing Address |
15604 Morning Dr Lutz FL 33559-3226 |
| Practice Telephone | 4073335111 |
| Mailing Telephone | 7272955791 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME144452 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12901 Bruce B Downs Blvd, Tampa, FL 336124742 | 7272955791 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396960720 | Eduardo M. Bustamante | Psychologist | 235 Maple St, Holyoke, MA 01040-5123 | 2007-04-13 |
| Street Address |
1070 GREENWOOD BLVD |
| City | LAKE MARY |
| State | FL |
| Zip Code | 32746-5404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588735708 | Filutowski Eye Institute Pa | Clinic/Center | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-10 |
| 1457706723 | Siripong Rojanasthien | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2016-04-25 |
| 1164771432 | Valerie Stephanie Best | Optometrist | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2012-09-02 |
| 1871715383 | Angela King Dempsey | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2007-05-03 |
| 1134295744 | Konrad Wladyslaw Filutowski | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-27 |
| 1760557102 | Filutowski Eye Institute Pa | Clinic/Center | 1070 Greenwood Blvd, Lake Mary, FL 32746 | 2006-11-21 |
| 1992876197 | Rima Kristina Klimas | Optometrist | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-11 |
| 1174694376 | Kara Meg Bachus | Optometrist | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588286397 | James Maggert | Physical Therapist | Sst Rehab, 635 Century Pt - Suite 111, Lake Mary, FL 32746 | 2020-05-14 |
| 1225663743 | Jamie Pecot | Behavior Technician | 300 International Parkway, 200, Lake Mary, FL 32746 | 2020-03-04 |
| 1619509585 | Dental Associates of Heathrow, LLC | Dentist | Dental Associates of Heathrow, LLC, 120 International Parkway Suite 26, Heathrow, FL 32746 | 2020-02-10 |
| 1376185876 | Rinehart Road Surgery Center, LLC | Clinic/Center | 392 Rinehart Road, Suite 1100, Lake Mary, FL 32746 | 2019-10-16 |
| 1871140988 | Central Florida Wellness LLC | General Practice | 1061 S Sun Drove, Suite 1041, Lake. Mary, FL 32746 | 2019-08-22 |
| 1326609942 | Antoine Slade I | Behavior Technician | 4876 Rhinehart Road, Lake Mary, FL 32746 | 2019-06-25 |
| 1245891209 | Ohri, LLC | Clinic/Center | 392 Rinehart Rd., Suite 1300, Lake Mary, FL 32746 | 2019-06-21 |
| 1336610856 | Olivia Laurel Stolz | Physician Assistant | 3300 West Lake Mary Blvd, 220, Lake Mary, FL 32746 | 2018-12-10 |
| 1881171072 | Elite-star Medical Transport LLC. | Non-emergency Medical Transport (VAN) | 2910 W Lake Mary Blvd Ste 101, Lake Mary, FL 32746 | 2018-07-20 |
| 1508351537 | Ariagny Elena Fereira | Speech-Language Pathologist | 145 Middle Street Suite 1101, Lake Mary, FL 32746 | 2018-06-22 |
| Find all providers in zip 32746 | ||||
| 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 |
|---|---|---|---|---|
| 1396745105 | Elia C Mavrofrides | Ophthalmology | 1025 Primera Blvd, Lake Mary, FL 32746-2175 | 2005-07-22 |
| 1457706723 | Siripong Rojanasthien | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2016-04-25 |
| 1851533236 | Samuel Kenney Houston IIi | Ophthalmology | 1025 Primera Blvd, Lake Mary, FL 32746-2175 | 2009-03-31 |
| 1336303247 | Matthew Alexander Cunningham | Ophthalmology | 1025 Primera Blvd, Lake Mary, FL 32746-2175 | 2008-07-10 |
| 1871715383 | Angela King Dempsey | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2007-05-03 |
| 1134295744 | Konrad Wladyslaw Filutowski | Ophthalmology | 1070 Greenwood Blvd, Lake Mary, FL 32746-5404 | 2006-11-27 |
| 1487654117 | Thomas A Barnard | Ophthalmology | 1025 Primera Blvd, Lake Mary, FL 32746-2175 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
| 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.