DR. THOMAS LEE PENDERGRAST (NPI# 1295828960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295828960 |
| Entity Type | Individual |
| Full Name | DR. THOMAS LEE PENDERGRAST |
| Credential | O.D. |
| Practice Address |
725 N Tyndall Pkwy Panama City FL 32404-3219 |
| Mailing Address |
1232 Plantation Dr Panama City FL 32404-8637 |
| Practice Telephone | 8507853426 |
| Mailing Telephone | 8508749803 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OP2933 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548680366 | Thomas Elliott Pendergrast | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center, Medical Center Blvd., Winston-salem, NC 27157 | 2014-04-19 |
| Street Address |
725 N TYNDALL PKWY |
| City | PANAMA CITY |
| State | FL |
| Zip Code | 32404-3219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639657208 | Linda Jean Strickland | Pharmacist | 725 N Tyndall Pkwy, Panama City, FL 32404-3219 | 2018-08-05 |
| 1669789483 | Focus Limited Inc | Clinic/Center | 725 N Tyndall Pkwy, Panama City, FL 32404-3219 | 2010-09-01 |
| 1669510111 | Julie Young Campbell | Optometrist | 725 N Tyndall Pkwy, Panama City, FL 32404-3219 | 2007-02-04 |
| 1972692879 | Wal-mart Stores East, Lp | Technician/Technologist | 725 N Tyndall Pkwy, Panama City, FL 32404-3219 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508278854 | Wayne Harris | Non-emergency Medical Transport (VAN) | 4826 Mccall Ln, Panama City, FL 32404 | 2014-05-21 |
| 1417384769 | Yolanda M Tingler | Social Worker | 7334 Highway 2311, Panama City, FL 32404 | 2013-10-02 |
| 1326482381 | Lydia Ann Rosenberger | Nurse Practitioner | 3520 East 15th Streett, Panama City, FL 32404 | 2013-04-22 |
| 1114288651 | Carly D Taulbee | Physical Therapy Assistant | 626 S Tyndall Pkwy, Panama City, FL 32404 | 2012-05-31 |
| 1770855934 | Lavie Rehab | Skilled Nursing Facility | 636 Tyndall Pkwy, Panama City, FL 32404 | 2012-02-03 |
| 1760695431 | Corey J Seymour | Military Health Care Provider | 4837 Mccall Ln, Panama City, FL 32404 | 2007-05-08 |
| 1336361625 | Vicky Perkins Whitfield | Pharmacist | 3621 Us Hwy 231 N., Panama City, FL 32404 | 2007-05-03 |
| 1528280807 | John Charles Peacock Sr. | Pharmacist | 3621 Us Hwy 231 North, Panama City, FL 32404 | 2007-05-03 |
| 1184782906 | Shelley Isenberg Hickman | Occupational Therapist | 5441 Nehi Rd, Panama City, FL 32404 | 2006-12-05 |
| 1629151931 | Kenneth Michael Plumley | Physician Assistant | 5620 Cherry St, Callaway, FL 32404 | 2006-10-23 |
| Find all providers in zip 32404 | ||||
| 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 |
|---|---|---|---|---|
| 1124527320 | On-site Medical Providers | Optometrist | 6928 Bayou George Dr, Panama City, FL 32404-5013 | 2018-02-03 |
| 1215385364 | Stephanie Quesada Moore | Optometrist | 426 W 23rd St, Panama City, FL 32405-4508 | 2016-05-31 |
| 1932529310 | Binh Than | Optometrist | 1000 East 23th Street, Panama City, FL 32405 | 2014-04-23 |
| 1952559684 | William Payton Patterson | Optometrist | 1714 W 23rd St, Suite K, Panama City, FL 32405-2932 | 2008-09-06 |
| 1639229271 | Joseph M Bazarte | Optometrist | 1611 Lisenby Ave, Panama City, FL 32405-3711 | 2007-01-12 |
| 1164460069 | Advanced Eye Care of Bay County Pa | Optometrist | 2500 W 23rd St, Panama City, FL 32405-2349 | 2006-06-03 |
| 1144275314 | William M. Warneck Jr. | Optometrist | 2146 N Cove Blvd, Panama City, FL 32405-5319 | 2006-05-24 |
| 1851369367 | Rebecca Lynn Kennedy | Optometrist | 357 Bunkers Cove Rd, Panama City, FL 32401-3911 | 2006-03-09 |
| 1437148509 | Chequita Hilversum | Optometrist | 1000 E 23rd St Ste 1a, Panama City, FL 32405-5301 | 2005-10-20 |
| 1699764803 | Brenda Ann Wainwright | Optometrist | 851 E 23rd St, Panama City, FL 32405-5311 | 2005-10-19 |
| Find all providers in PANAMA CITY | ||||
| City | PANAMA CITY |
| Zip Code | 32404 |
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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.