OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA (NPI# 1275527095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275527095 |
| Entity Type | Organization |
| Organization Name | OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA |
| Other Organization Name | EYELID SURGERY |
| Practice Address |
15620 New Hampshire Ct Fort Myers FL 33908-4168 |
| Practice Telephone | 2394819995 |
| Practice Fax Number | 2394819745 |
| Mailing Telephone | 2394819995 |
| Mailing Fax Number | 2394819745 |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. DEAN WILLIAM LARSON (PRESIDENT) |
| Authorized Official Telephone | 2394819995 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207W00000X | Ophthalmology | ========= | FL | Allopathic & Osteopathic Physicians |
| X | 367500000X | Nurse Anesthetist, Certified Registered | ========= | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD MEDICARE | DC9277 | 01 |
| Other Name | Type Code |
|---|---|
| Eyelid Surgery | Doing Business As Name - Organization |
| Street Address |
15620 NEW HAMPSHIRE CT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33908-4168 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588658306 | Bonnie Lou Kokal | Nurse Anesthetist, Certified Registered | 15620 New Hampshire Ct, Fort Myers, FL 33908-4168 | 2005-09-08 |
| 1205353687 | Gulfshore Dermatology, P.a. | Dermatology | 15620 New Hampshire Ct, Fort Myers, FL 33908-4168 | 2017-08-25 |
| 1083677926 | Jeffrey N Martin | Dermatology | 15620 New Hampshire Ct, Fort Myers, FL 33908-4168 | 2006-04-11 |
| 1679536510 | Mark C George | Physician Assistant | 15620 New Hampshire Ct, Fort Myers, FL 33908-4168 | 2006-04-11 |
| 1255325080 | Eyelid Surgery Center, LLC | Clinic/Center | 15620 New Hampshire Ct, Fort Myers, FL 33908-4168 | 2005-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081806 | 1 Recovery | Community/Behavioral Health | 111 Daniels Dr, Fort Myers, FL 33908 | 2020-10-20 |
| 1457916462 | Avipharm, LLC | Pharmacy | 7669 Calistoble Loop, 2nd Floor, Fort Myers, FL 33908 | 2019-05-06 |
| 1013492289 | Craig M Stein | Pharmacist | 15236 Tropic Bird Court, Fort Myers, FL 33908 | 2018-10-03 |
| 1730665167 | Kyndra Lynn Petrick | Psychiatry & Neurology | 8560 Big Mangrove Dr, Fort Myers, FL 33908 | 2018-07-18 |
| 1447757547 | Douglas L Jarrett | Nurse Practitioner | 16261 Bass Rd Suite 300, Fort Myers, FL 33908 | 2018-04-06 |
| 1447754825 | Luis Daniel Ramos | General Practice | 15590 Ocean Walk Cir Apt 201, Fort Myers, FL 33908 | 2018-03-21 |
| 1619497062 | Vanesa Paola Vaquer | Dentist | 18070 S Tamiami Trl Ste 101, Fort Myers, FL 33908 | 2017-06-26 |
| 1962859603 | Teresa Ruiz | Behavior Technician | 15081 Woodrich Bend Ct Apt 416, Fort Myers, FL 33908 | 2016-05-23 |
| 1669865721 | Elena B. Alexiev | Dentist | 18070 S. Tamiami Trail, #101, Fort Myers, FL 33908 | 2015-03-13 |
| 1134488919 | Cecelia Anne Collins | Dietitian, Registered | 9215 Calle Arragon Avenue, Unit 205, Fort Myers, FL 33908 | 2012-05-14 |
| Find all providers in zip 33908 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020669 | Fort Myers Medical Universer | Ophthalmology | 4531 Deleon St, Fort Myers, FL 33907-1278 | 2017-05-11 |
| 1235557166 | Maximilian R. Padilla | Ophthalmology | 13470 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1850 | 2014-03-28 |
| 1821227331 | Jessica Jane Kovarik | Ophthalmology | 9800 S Healthpark Dr Ste 110, Fort Myers, FL 33908-3630 | 2009-07-06 |
| 1174659536 | Bradford S. Prokop | Ophthalmology | 11520 Compass Point Dr, Fort Myers, FL 33908-4926 | 2007-02-27 |
| 1770659856 | Southwest Florida Eye Care, L.l.c | Ophthalmology | 6850 International Cntr Blvd, Fort Myers, FL 33912-7129 | 2006-11-28 |
| 1396836037 | Florentino E Palmon | Ophthalmology | 6850 International Center Boulevard, Fort Myers, FL 33912-7129 | 2006-09-27 |
| 1437189701 | Vinod Bhavnani | Ophthalmology | 6810 Porto Fino Cir, Fort Myers, FL 33912-7140 | 2006-07-03 |
| 1356382725 | Ophthalmic Facial Plastic Surgery Specialists | Ophthalmology | 7331 College Parkway, Suite 200, Fort Myers, FL 33907 | 2006-06-09 |
| 1972550622 | Hussein Wafapoor | Ophthalmology | 1567 Hayley Ln, Suite 101, Fort Myers, FL 33907-2109 | 2006-05-28 |
| 1194777185 | Albert E Smolyar | Ophthalmology | 6850 International Center Blvd, Fort Myers, FL 33912 | 2006-05-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33908 |
Please comment or provide details below to improve the information on OCULOPLASTICS OF SOUTHWEST FLORIDA, DEAN W. LARSON, MD PA.
| 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.