CAPSTONE EYE CARE GROUP OF FLORIDA LLC (NPI# 1326563362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326563362 |
| Entity Type | Organization |
| Organization Name | CAPSTONE EYE CARE GROUP OF FLORIDA LLC |
| Other Organization Name | PEARLE VISION - S TAMPA |
| Practice Address |
3708 Henderson Blvd Tampa FL 33609-4504 |
| Mailing Address |
510 E Memorial Rd Ste A4 Oklahoma City OK 73114-2218 |
| Practice Telephone | 7273176174 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | JEFF BUTCHER (MEMBER) |
| Authorized Official Telephone | 7273176174 |
| Authorized Official Credential | OD |
| Is Organization Subpart | Y |
| Parent Organization Name | CAPSTONE EYE CARE GROUP OF FLORIDA LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Pearle Vision - S Tampa | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386159358 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 110 S Orlando Ave Ste 11, Winter Park, FL 32789-3656 | 2017-12-12 |
| 1245765205 | Capstone Eye Care Group of Florida LLC | Eyewear Supplier (Equipment, not the service) | 7855 113th St Bldg P-2, Suite A, Seminole, FL 33772 | 2017-04-27 |
| Street Address |
3708 HENDERSON BLVD |
| City | TAMPA |
| State | FL |
| Zip Code | 33609-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447742804 | Amanda Lauren Smith | Optometrist | 3708 Henderson Blvd, Tampa, FL 33609 | 2018-06-01 |
| 1437640547 | Prajakta Nitinvhai Joshi | Optometrist | 3708 Henderson Blvd, Tampa, FL 33609 | 2018-05-24 |
| 1063937001 | B&b Florida Eye Care Pllc | Optometrist | 3708 Henderson Blvd, Tampa, FL 33609-4504 | 2017-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427521970 | Kampsen Hearing LLC | Audiologist | 310 South Macdill Avenue, Suite 202, Tampa, FL 33609 | 2019-01-08 |
| 1629557319 | Priscilla Luna-mitchum | Physical Therapist | 2700 W M.l.k Jr Blvd, Suite 300, Tampa, FL 33609 | 2018-08-13 |
| 1043735657 | Mary Elizabeth Osbach | Registered Nurse | 3211 W Swann Ave, Unit 1106, Tampa, FL 33609 | 2017-08-04 |
| 1497275317 | Jeilyn M Jimenez | Developmental Therapist | 550 N Reo Street, Tampa, FL 33609 | 2017-06-21 |
| 1033658513 | Adela Reeb | Specialist/Technologist | 909 North Dale Mabry Hwy, Tampa, FL 33609 | 2017-02-17 |
| 1033561261 | Abigail Marie Richardson | Developmental Therapist | 555 North Reo Street, Tampa, FL 33609 | 2016-07-12 |
| 1275992448 | Jennifer Stich | Behavioral Analyst | 3210 W De Leon St # B, Tampa, FL 33609 | 2016-02-16 |
| 1154711505 | Health E Systems, LLC | Transportation Broker | 5100 W. Lemon Street, Suite 311, Tampa, FL 33609 | 2015-01-23 |
| 1619375292 | Healthexchange Systems, LLC | Home Health | 5100 West Lemon Street, Suite 311, Tampa, FL 33609 | 2014-12-12 |
| 1538567458 | Calvin Harrison Iv | Occupational Therapist | 600 N. Westshore Blvd, Suite 600, Tampa, FL 33609 | 2014-12-09 |
| Find all providers in zip 33609 | ||||
| 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 |
|---|---|---|---|---|
| 1689272825 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 6290 Commerce Palms Dr, Tampa, FL 33647-1506 | 2020-10-10 |
| 1952959918 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 2223 N West Shore Blvd Ste 280, Tampa, FL 33607-7228 | 2019-09-03 |
| 1831616192 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 420 W Kennedy Blvd, Tampa, FL 33606-1413 | 2017-08-28 |
| 1902336415 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 298 Westshore Plz, Tampa, FL 33609-1811 | 2017-06-16 |
| 1679960322 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 3108 N Boundary Blvd, Tampa, FL 33621-5050 | 2015-04-21 |
| 1104164391 | Designing Eyes Optical Boutique, Inc | Eyewear Supplier (Equipment, not the service) | 200 N Tampa St, Suite G110, Tampa, FL 33602-5161 | 2013-01-22 |
| 1245517085 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8150 Citrus Park Town Center Mall, Suite 1100, Tampa, FL 33625-3181 | 2011-11-08 |
| 1760672745 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 7651 W Waters Ave, Tampa, FL 33615-1513 | 2007-07-26 |
| 1396943957 | Essilor Laboratories of America, Inc | Eyewear Supplier (Equipment, not the service) | 5067 Savarese Cir, Tampa, FL 33634-2404 | 2007-07-05 |
| 1811043698 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 10224 East Adamo Drive, Tampa, FL 33619 | 2007-01-26 |
| Find all providers in TAMPA | ||||
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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.