TAD R KOSANOVICH OD PA (NPI# 1326218215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326218215 |
Entity Type | Organization |
Organization Name | TAD R KOSANOVICH OD PA |
Practice Address |
150 S Indiana Ave Englewood FL 34223-3307 |
Practice Telephone | 9414731392 |
Practice Fax Number | 9414739379 |
Mailing Telephone | 9414731392 |
Mailing Fax Number | 9414739379 |
Enumeration Date | 2008-03-06 |
Last Update Date | 2008-03-06 |
Authorized Official Name | DR. TAD R KOSANOVICH (OWNER) |
Authorized Official Telephone | 9414731392 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
Street Address |
150 S INDIANA AVE |
City | ENGLEWOOD |
State | FL |
Zip Code | 34223-3307 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285785527 | Tad Robert Kosanovich | Optometrist | 150 S Indiana Ave, Englewood, FL 34223-3307 | 2007-01-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083180285 | Shelby Katherine Chirillo | Behavior Technician | 2500 Bobcat Center, Suite G, North Port, FL 34223 | 2018-10-16 |
1073022885 | Stacey Jo Seitz | Nurse Practitioner | 900 Pine Street, Suite 222, Englewood, FL 34223 | 2017-09-25 |
1750823688 | Bernice Cynthia Putnam | Technician | 401 E Langsner St, Englewood, FL 34223 | 2016-11-09 |
1003366949 | Tiffany Kristine Lamarca | Nurse Practitioner | 2061 Englewood Rd Ste 5, Englewood, FL 34223 | 2016-10-04 |
1336578293 | Lawrence Hale | Dentist | 701 S Indiana Ave Ste A, Englewood, FL 34223 | 2013-11-01 |
1730404310 | Michael A Arpasi | Hearing Instrument Specialist | 1720 S Mccall Rd Ste H, Englewood, FL 34223 | 2010-04-07 |
1962657452 | Amy J. Culbertson | Nurse Practitioner | 1719 Gale St, Englewood, FL 34223 | 2008-11-25 |
1396884433 | Cynthia J Juliao | Audiologist | 1108 Larchmont Dr, Englewood, FL 34223 | 2007-02-05 |
1538224092 | Cynthia Kay Davis | Obstetrics & Gynecology | 2061 Englewood Rd Ste 1, Englewood, FL 34223 | 2006-12-26 |
1902966146 | Dennis M Jewell Dc Pa | Chiropractor | 579 South Indiana Ave, Suite C, Englewood, FL 34223 | 2006-12-11 |
Find all providers in zip 34223 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609210392 | Highland Family Optical LLC | Eyewear Supplier (Equipment, not the service) | 9094 E Mineral Avenue, Suite 200, Englewood, CO 80112 | 2013-04-24 |
1497179840 | Jj's Optical | Eyewear Supplier (Equipment, not the service) | 3601 S Clarkson St, Suite 115, Englewood, CO 80113-3944 | 2014-02-05 |
1265704233 | Glasses Rx, LLC | Eyewear Supplier (Equipment, not the service) | 1800 S Mccall Rd, Englewood, FL 34223-4958 | 2012-02-06 |
1770702318 | Marsh Ophthalmic Associates | Eyewear Supplier (Equipment, not the service) | 245 Engle St, Englewood, NJ 07631-2465 | 2007-04-24 |
1861514093 | Spectacles Distinctive Eyewear | Eyewear Supplier (Equipment, not the service) | 3601 S Clarkson St, Suite 115, Englewood, CO 80113-3944 | 2007-04-06 |
1316004187 | Northwest Optometry LLC | Eyewear Supplier (Equipment, not the service) | 639 W National Rd, Englewood, OH 45322-1155 | 2007-01-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598363327 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7050 Coral Way, Miami, FL 33155-1603 | 2020-10-14 |
1508464348 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 7005 N Davis Hwy, Pensacola, FL 32504-6339 | 2020-10-14 |
1013515006 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 620 Riverside Dr, Coral Springs, FL 33071-7615 | 2020-10-13 |
1841898822 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1800 Dunlawton Ave, Port Orange, FL 32127-2921 | 2020-10-13 |
1689272817 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 16200 Sw 88th St, Miami, FL 33196-4941 | 2020-10-10 |
1619575859 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 2577 S Highway 27, Clermont, FL 34711-6788 | 2020-10-10 |
1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
1548868789 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 9372 Ben C Pratt/6 Mile Cypress Pkwy, Fort Myers, FL 33966-6502 | 2020-10-10 |
1003413444 | Family Vision of Crestview LLC | Eyewear Supplier (Equipment, not the service) | 535 S Ferdon Blvd Ste B, Crestview, FL 32536-4446 | 2020-10-08 |
1891392478 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 650 Se 8th St, Homestead, FL 33030-7405 | 2020-10-06 |
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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.