MR. VARUN KHEDEKAR (NPI# 1164943312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164943312 |
| Entity Type | Individual |
| Full Name | MR. VARUN KHEDEKAR |
| Credential | OD |
| Practice Address |
10000 Bay Pines Blvd Building 106 Bay Pines FL 33744-3374 |
| Mailing Address |
11 Cortland Dr Stow MA 01775-1053 |
| Practice Telephone | 7273986661 |
| Mailing Telephone | 7742580377 |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2017-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 5225 | MA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OEG003298 | PA | Eye and Vision Services Providers |
| Street Address |
10000 BAY PINES BLVD BUILDING 106 |
| City | BAY PINES |
| State | FL |
| Zip Code | 33744-3374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164423596 | Lawrence Alan Gaulkin | Family Medicine | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2005-08-09 |
| 1225638943 | Mary Catherine Mercer | Psychologist | 10000 Bay Pines Blvd, Mh&bss (116), Bay Pines, FL 33744 | 2020-10-30 |
| 1407456650 | Alisah N Lauderdale | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-27 |
| 1710584503 | Jeffrey Scott Mcdonald | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1841897642 | Cecelia Anne Bushery | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
| 1982201141 | Brett Marshel Taylor | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-01 |
| 1588271951 | Jennifer Ngoc Ngo | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1750998274 | Nara Celeste Lee | Dietitian, Registered | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1972110393 | Nardine-mary Yassa | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
| 1881201309 | Quynh-nhu Courtney Truong | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
| 1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
| 1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
| 1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
| 1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
| 1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
| 1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
| 1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
| 1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
| 1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
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| 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 |
|---|---|---|---|---|
| 1144301219 | Joseph Allen Miller | Optometrist | Bay Pines Veterans Affairs Medical Center, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2006-10-17 |
| 1124642269 | Stephanie Nicole Aruca | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-06-04 |
| 1942793484 | Jordan Paul Petrosky | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2018-06-10 |
| 1780104273 | Thomas Bradley Lambert | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2017-06-26 |
| 1902212525 | Candace Cordero | Optometrist | 10000 Bay Pines Blvd, Building 106, Bay Pines, FL 33744 | 2014-07-02 |
| 1477809697 | Derek Alexander Richardson | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2012-07-25 |
| 1568743797 | Stephanie Cali | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2011-09-01 |
| 1902111040 | Katherine Susan Dunatov | Optometrist | 10000 Bay Pines Boulevard, 3a-eye Clinic, Bay Pines, FL 33744 | 2010-08-13 |
| 1619107141 | Vanessa Marie Santos Nevarez | Optometrist | 10000 Bay Pines Blvd, 3a-eye Clinic Bldg. 100, Bay Pines, FL 33744 | 2009-07-17 |
| 1508954058 | Paul J Gruosso | Optometrist | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2006-10-10 |
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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.