DR. GARY L. WASSERMAN (NPI# 1205876919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205876919 |
| Entity Type | Individual |
| Full Name | DR. GARY L. WASSERMAN |
| Credential | O.D. |
| Practice Address |
13489 Walsingham Rd Largo FL 33774-3530 |
| Mailing Address |
6201 Burlington Ave N St Petersburg FL 33710-8429 |
| Practice Telephone | 7275966315 |
| Mailing Telephone | 7273475816 |
| Enumeration Date | 2006-06-08 |
| Last Update Date | 2007-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1093 | GA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OPC2136 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | TRICARE | 5929A | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518049832 | Gary D Wasserman | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2006-10-19 |
| 1740382746 | Gary M Wasserman | Obstetrics & Gynecology | 1 Brookings Dr, Saint Louis, MO 63130-4862 | 2006-09-01 |
| 1104811595 | Gary A Wasserman | Obstetrics & Gynecology | 150 Tarrytown Rd, Manchester, NH 03103-2713 | 2005-09-13 |
| Street Address |
13489 WALSINGHAM RD |
| City | LARGO |
| State | FL |
| Zip Code | 33774-3530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467930818 | Anthea Marina Dsouza | Physical Therapist | 3500 Oak Manor Lane, Largo, FL 33774 | 2018-07-29 |
| 1265918874 | Bertishia Lashanti Mosley | Home Health | 2308 Fulton Way, Largo, FL 33774 | 2018-07-17 |
| 1639660699 | Tanya Jadhav | Dentist | 12963 Walsingham Rd, Largo, FL 33774 | 2018-05-25 |
| 1588001390 | Lindsay Erin Spotts | Dietitian, Registered | 14763 Sunset Drive, Largo, FL 33774 | 2013-06-03 |
| 1235572314 | Jasmine Gardens LLC | Assisted Living Facility | 11355 131st St, Largo, FL 33774 | 2013-04-09 |
| 1033484183 | The Body Masters, Inc | Massage Therapist | 12552 Indian Rocks Road, Largo, FL 33774 | 2012-03-21 |
| 1902112923 | Christie Youssef | Family Medicine | 2025 Indian Rocks Rd., Largo, FL 33774 | 2010-08-27 |
| 1568777548 | Lee Laravia | General Practice | 2025 Indian Rocks Rd, Largo, FL 33774 | 2010-08-13 |
| 1699957068 | Indian Oaks Incorporated | Assisted Living Facility | 11355 131st Street North, Largo, FL 33774 | 2007-11-28 |
| 1487867164 | Eric Nathan Grosch | Internal Medicine | 11800 Hammock Drive, Largo, FL 33774 | 2007-05-08 |
| Find all providers in zip 33774 | ||||
| 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 |
|---|---|---|---|---|
| 1467005041 | Chelsey Lyn Shepos | Optometrist | 1030 West Bay Dr, Suite 200, Largo, FL 33770 | 2019-07-22 |
| 1750940003 | Michelle Quach | Optometrist | 13002 Seminole Blvd Ste 10&11, Largo, FL 33778-2125 | 2019-06-11 |
| 1154841278 | Thu Nguyen | Optometrist | 10500 Ulmerton Rd Ste 278, Largo, FL 33771-3537 | 2017-06-20 |
| 1760841530 | Sunshine Eye Care Solutions, LLC | Optometrist | 10925 Ulmerton Rd, Largo, FL 33778-1624 | 2016-02-22 |
| 1508277948 | Kacie Marie Kreifels | Optometrist | 1250 Belcher Rd S, Largo, FL 33771-5213 | 2014-05-19 |
| 1467882050 | Nora Lee Cothran | Optometrist | 1225 W Bay Dr, Largo, FL 33770-2203 | 2013-11-18 |
| 1043465537 | Francis Barreiro Od Pa | Optometrist | 1915 E Bay Dr, Suite A-3, Largo, FL 33771-2203 | 2008-11-25 |
| 1164620605 | Innovision Practice Group Pa | Optometrist | 8250 Bryan Dairy Rd Ste 120, Largo, FL 33777-1357 | 2007-07-05 |
| 1295818268 | Mitchellville Eye Associates | Optometrist | 10476 Campus Way S, Largo, MD 20774-1304 | 2006-10-23 |
| 1366403974 | Shepard Arnold Adler | Optometrist | 1211092waynorth, Largo, FL 33773-4325 | 2006-03-31 |
| Find all providers in LARGO | ||||
Please comment or provide details below to improve the information on DR. GARY L. WASSERMAN.
| 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.