LAKE CITY EYE PHYSICIANS, LLC (NPI# 1235350208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235350208 |
| Entity Type | Organization |
| Organization Name | LAKE CITY EYE PHYSICIANS, LLC |
| Practice Address |
621 Sw Baya Dr Suite 101 Lake City FL 32025-4240 |
| Practice Telephone | 3867546616 |
| Practice Fax Number | 3867546615 |
| Mailing Telephone | 3867546616 |
| Mailing Fax Number | 3867546615 |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. REAVES C CLOE (OWNER) |
| Authorized Official Telephone | 3867546616 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 0700004320 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS | 19899 | 01 |
| Street Address |
621 SW BAYA DR SUITE 101 |
| City | LAKE CITY |
| State | FL |
| Zip Code | 32025-4240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407956071 | Reaves C Cole | Optometrist | 621 Sw Baya Dr, Suite 101, Lake City, FL 32025-4240 | 2006-09-24 |
| 1235359258 | Sherri Alaine Cole | Technician/Technologist | 621 Sw Baya Dr, Suite 101, Lake City, FL 32025-4240 | 2007-05-01 |
| 1053532085 | Cole Optics, LLC | Technician/Technologist | 621 Sw Baya Dr, Suite 101, Lake City, FL 32025-4240 | 2007-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801438353 | Jennifer Bennett | Pharmacist | 347 Sw Main Blvd Suite 102, Lake City, FL 32025 | 2019-10-16 |
| 1700352838 | Robert J Sansouci IIi IIi | Physical Therapy Assistant | 560 Sw Mcfarlane Ave, Lake City, Fl, 32025, Lake City, FL 32025 | 2018-10-16 |
| 1316442783 | Emily Bailey | Developmental Therapist | 2126 Sw Sisters Welcome Rd, Lake City, FL 32025 | 2018-03-28 |
| 1811446370 | Michelle Hart | Behavioral Analyst | 260 S. Marion Avenue, Bldg. A, Suite 135, Lake City, FL 32025 | 2016-09-26 |
| 1922467646 | Irene Aponte Moreno | Nurse Practitioner | 440 Sw Perimeter Glen, Lake City, FL 32025 | 2016-02-23 |
| 1093186777 | Decarlos Scippio | Counselor | 619 Sw Baya Drive Suite 102, Lake City, FL 32025 | 2015-10-07 |
| 1497132476 | Jamecia Legree | Registered Nurse | 800 Sw Symphony Loop, Bldg 15 Apt 204, Lake City, FL 32025 | 2015-04-29 |
| 1306249149 | Mercy Home Assisted Living Facility LLC | Assisted Living Facility | 184 S.e. Beech Street, Lake City, FL 32025 | 2014-10-08 |
| 1598174344 | Karen Mcdonald | Developmental Therapist | 4523 Se County Road 252, Lake City, FL 32025 | 2014-08-06 |
| 1275944126 | Mohammad Ali Faisal Mdpa | Specialist | 1283 Sw State Rd 47, Ste 104, Lake City, FL 32025 | 2014-05-14 |
| Find all providers in zip 32025 | ||||
| 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 |
|---|---|---|---|---|
| 1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
| 1427426469 | Lake City Vision Pa | Optometrist | 295 Nw Commons Loop Ste 105, Lake City, FL 32055-7709 | 2015-09-08 |
| 1447456827 | Sanjeet Kaur Virk | Optometrist | 619 S Marion Ave (lake City Vamc), Lake City, FL 32025-5808 | 2007-06-22 |
| 1639386832 | Steven Craig Hobbs | Optometrist | 339 West Main Street, Lake City, SC 29560 | 2007-05-17 |
| 1093867236 | William A. Cole | Optometrist | 2133 W Us Highway 90, Suite 170, Lake City, FL 32055-4705 | 2007-01-17 |
| 1669521027 | Rock Vision Clinic PC | Optometrist | 1341 W Main St, Lake City, IA 51449-0124 | 2007-01-08 |
| 1407956071 | Reaves C Cole | Optometrist | 621 Sw Baya Dr, Suite 101, Lake City, FL 32025-4240 | 2006-09-24 |
| 1396847539 | Michael P Weisgerber | Optometrist | 123 Epps St, Lake City, SC 29560-2449 | 2006-09-01 |
| 1063441830 | Michael D Ackermann | Optometrist | 117 W Center St, Lake City, MN 55041 | 2006-07-02 |
| 1205817392 | Ronald R Foreman | Optometrist | 763 Sw Main Blvd, Lake City, FL 32025-5791 | 2005-11-07 |
| Find all providers in LAKE CITY | ||||
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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.