ANNETTE BRABHAM OD PA (NPI# 1255635348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255635348 |
| Entity Type | Organization |
| Organization Name | ANNETTE BRABHAM OD PA |
| Practice Address |
111 N John Sims Pkwy Valparaiso FL 32580-1005 |
| Practice Telephone | 8507298711 |
| Practice Fax Number | 8507298713 |
| Mailing Telephone | 8507298711 |
| Mailing Fax Number | 8507298713 |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2013-06-17 |
| Authorized Official Name | DR. ANNETTE BRABHAM (OWNER/DOCTOR) |
| Authorized Official Telephone | 8507298711 |
| Authorized Official Credential | O.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OP0002698 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 620523200 | 05 |
| Street Address |
111 N JOHN SIMS PKWY |
| City | VALPARAISO |
| State | FL |
| Zip Code | 32580-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1477853364 | C S Peters Od, Pa | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2010-10-26 |
| 1902990161 | C S Peters | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376902254 | Miriam Rodriguez | Dentist | Ignacio Zaragoza #1015, Col. Salvarcar, Juarez, CHIHUAHUA 32580 | 2016-02-19 |
| 1710920897 | Thaddaeus R Castaneda | Family Medicine | 143 S. John Sims Prkwy, Valparaiso, FL 32580 | 2006-06-14 |
| 1255389938 | Neil Baker Nipper | Family Medicine | 350 Jackson Circle, Valparaiso, FL 32580 | 2006-05-04 |
| 1821608225 | Patrick Conner Sharp | Chiropractor | 127 N John Sims Pkwy Unit B, Valparaiso, FL 32580-1005 | 2020-07-31 |
| 1093769788 | Larissa Nicole Tenzycki | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2006-05-19 |
| 1518590546 | Growing Green Families, Pllc | Chiropractor | 127 N John Sims Pkwy Ste B, Valparaiso, FL 32580-1005 | 2020-02-18 |
| 1972792240 | Mary Catherine Brogdon | Licensed Practical Nurse | 379 Edge Ave, Valparaiso, FL 32580-1033 | 2007-10-23 |
| 1932672441 | Michael W Nickerson | Behavioral Analyst | 415 Davenport Ave, Valparaiso, FL 32580-1074 | 2019-01-07 |
| 1265454862 | Lois Johnson Lunderman | Dentist | 395 Valparaiso Pkwy, Valparaiso, FL 32580-1203 | 2006-07-24 |
| 1235149964 | Lois J. Lunderman, Dds, Pa | Dentist | 395 Valparaiso Pkwy, Valparaiso, FL 32580-1203 | 2006-08-08 |
| Find all providers in zip 32580 | ||||
| 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 |
|---|---|---|---|---|
| 1689213365 | National Vision Inc | Optometrist | 2410 Laporte Ave Ste 130, Valparaiso, IN 46383-6969 | 2019-12-30 |
| 1669931846 | Myeyedr Optometry of Indiana, LLC | Optometrist | 2106 Calumet Ave, Valparaiso, IN 46383-2708 | 2019-03-18 |
| 1427314657 | Eyecare Indiana Ll, PC | Optometrist | 3540 N. Calumet Ave, Valparaiso, IN 46383-2246 | 2012-04-02 |
| 1720126048 | Robert Andrew Riggle | Optometrist | 2106 N Calumet Ave, Valparaiso, IN 46838 | 2007-02-01 |
| 1346334422 | Annette Brabham | Optometrist | 111 N John Sims Pkwy, Valparaiso, FL 32580 | 2006-10-03 |
| 1598788978 | Ossip Optometry, P.c | Optometrist | 3540 Calumet Ave, Valparaiso, IN 46383-2246 | 2006-07-26 |
| 1336115237 | Northwest Indiana Eye Associates, PC | Optometrist | 2101 Burlington Beach Rd, Valparaiso, IN 46383-1665 | 2006-02-28 |
| 1154398097 | Nikole T Schilling | Optometrist | 2101 Burlington Beach Rd., Valparaiso, IN 46383-0000 | 2006-02-28 |
| 1518931310 | Stanley Neil Blackman | Optometrist | 2009 Roosevelt Rd, Suite D, Valparaiso, IN 46383-3765 | 2006-02-16 |
| 1073515938 | Richard Scott Carlson | Optometrist | 502 Marquette St, Valparaiso, IN 46383-2509 | 2005-08-11 |
| Find all providers in VALPARAISO | ||||
| City | VALPARAISO |
| Zip Code | 32580 |
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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.