CRAIG CZYZ (NPI# 1205043684) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205043684 |
| Entity Type | Individual |
| Full Name | CRAIG CZYZ |
| Credential | D.O. |
| Practice Address |
21178 Olean Blvd Port Charlotte FL 33952-6728 |
| Mailing Address |
1100 Oregon Ave Columbus OH 43201-3371 |
| Practice Telephone | 9416291090 |
| Mailing Telephone | 6143955644 |
| Mailing Fax Number | 6142977753 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | OS014584 | PA | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | OS10225 | FL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 58-001590 | OH | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
OS014584 | PA | Allopathic & Osteopathic Physicians |
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
34.009294 | OH | Allopathic & Osteopathic Physicians |
| N | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
OS10225 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
21178 OLEAN BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891870465 | Ali Asghar Azima | Specialist | 21178 Olean Blvd, Suite C, Port Charlotte, FL 33952-6728 | 2006-10-25 |
| 1255507075 | Family Eyecare Center, LLC. | Optometrist | 21178 Olean Blvd, Unit A, Port Charlotte, FL 33952-6728 | 2008-05-01 |
| 1871768879 | Progressive Optical Designs | Eyewear Supplier (Equipment, not the service) | 21178 Olean Blvd, Suite B, Port Charlotte, FL 33952-6728 | 2008-04-29 |
| 1386782506 | Family Eyecare Center | Optometrist | 21178 Olean Blvd, Port Charlotte, FL 33952-6728 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396137 | Kenneth Richard Kesty | Ophthalmology | 1395 Brightwaters Blvd Ne, St Petersburg, FL 33704-3807 | 2020-02-02 |
| 1356803167 | Westsite Management LLC | Ophthalmology | 10088 Indiantown Rd Ste B, Jupiter, FL 33478-4738 | 2019-04-01 |
| 1912456104 | Mitch Levin | Ophthalmology | 1402 Green Cove Rd, Winter Park, FL 32789-2551 | 2016-09-28 |
| 1457794935 | Kyle Fitzgerald Cox | Ophthalmology | 345 Clyde Morris Blvd Ste 330, Ormond Beach, FL 32174 | 2013-04-15 |
| 1619119948 | Crystal River Eye Center,llc | Ophthalmology | 295 Se Us Highway 19, Crystal River, FL 34429-4880 | 2009-04-01 |
| 1932292935 | James Randall Patrinely | Ophthalmology | 17 E Main St Ste 100, Pensacola, FL 32502-5998 | 2006-10-02 |
| 1275534182 | Karen L Chapman | Ophthalmology | 1750 S Osprey Ave, Sarasota, FL 34239-3511 | 2005-08-02 |
| 1831735224 | Mohadjer Consulting LLC | Ophthalmology | 8855 9th St N Ste 100, St Petersburg, FL 33702-3443 | 2019-11-21 |
| 1760911796 | Dr Dan Plastic Surgery | Ophthalmology | 1776 N Pine Island Rd Ste 218, Plantation, FL 33322-5223 | 2017-06-04 |
| 1619423845 | Gulfstream Eye, Pllc | Ophthalmology | 555 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1623 | 2016-08-28 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
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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.