WILLIAM J. MALLON, MD (NPI# 1376569038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376569038 |
| Entity Type | Organization |
| Organization Name | WILLIAM J. MALLON, MD |
| Other Organization Name | ADVANCED OPTICAL |
| Practice Address |
3500 Us Highway 1 Vero Beach FL 32960-4511 |
| Practice Telephone | 7727700113 |
| Practice Fax Number | 7722991455 |
| Mailing Telephone | 7727700113 |
| Mailing Fax Number | 7722991455 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2015-07-16 |
| Authorized Official Name | MARY A PENA-ROQUE (OPTICIAN) |
| Authorized Official Telephone | 7727700113 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | DO2093 | FL | Suppliers |
| Other Name | Type Code |
|---|---|
| Advanced Optical | Doing Business As Name - Organization |
| Street Address |
3500 US HIGHWAY 1 |
| City | VERO BEACH |
| State | FL |
| Zip Code | 32960-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790772101 | Adam M Katz | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2005-09-30 |
| 1699031948 | Alexander D. Blandford | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960 | 2012-04-11 |
| 1295960946 | Derek Hunter Ohlstein | Internal Medicine | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2009-05-26 |
| 1730246257 | Dominick A Benedetto | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2007-01-03 |
| 1649353582 | William J. Mallon, M.d., P.a. | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960 | 2006-10-23 |
| 1942242441 | Advanced Eye Surgery Center, LLC | Clinic/Center | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-06-11 |
| 1952355588 | John Michael Schnell | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-05-19 |
| 1114976479 | William J. Mallon | Ophthalmology | 3500 Us Highway 1, Vero Beach, FL 32960-4511 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891208872 | Fresenius Medical Care Vero Beach, LLC | Clinic/Center | 1515 Indian River Blvd Ste A101, Vero Beach, FL 32960 | 2017-11-13 |
| 1972016103 | Rer Enterprises, Inc. | Durable Medical Equipment & Medical Supplies | 2436 Us 1, Vero Beach, FL 32960 | 2017-11-09 |
| 1225558141 | Robby John Caballes | Podiatrist | 3735 11th Circle Ste 201, Vero Beach, FL 32960 | 2017-06-21 |
| 1407388978 | Haley Elizabeth Stewart | Counselor | 1925 20th Street, Vero Beach, FL 32960 | 2017-04-03 |
| 1861932949 | Daniel Martin | Specialist/Technologist | 4025 20th Street, Vero Beach, FL 32960 | 2017-03-08 |
| 1770957367 | Gail Jaffe Satuloff | Counselor | Terry Mindfulness Center, 333 17th St., Suite 2t, Vero Beach, FL 32960 | 2015-11-19 |
| 1104213172 | Kimberly Ann Aikey | Massage Therapist | 1715 37th Place #3, Vero Beach, FL 32960 | 2015-04-17 |
| 1992128482 | Jean Luc Franck | Internal Medicine | 920 37th Pl Ste 105, Vero Beach, FL 32960 | 2014-02-04 |
| 1417386624 | Ocean Addiction Recovery Services, LLC | Anesthesiology | 1705 19 Pl, Ste E-2, Vero Beach, FL 32960 | 2013-11-07 |
| 1609203835 | Cynthia S. Crawford, M.d. Pa | Physical Medicine & Rehabilitation | 1986 35th Avenue, Vero Beach, FL 32960 | 2013-10-02 |
| Find all providers in zip 32960 | ||||
| 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 |
|---|---|---|---|---|
| 1588717854 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 6200 20th St Ste 850, Vero Beach, FL 32966-1089 | 2007-01-19 |
| 1700933397 | Doctors Optical | Eyewear Supplier (Equipment, not the service) | 2175 20th St, Suite C, Vero Beach, FL 32960-3024 | 2007-01-04 |
| 1710998067 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 6200 20th St, Ste 700, Vero Beach, FL 32966-1012 | 2006-08-11 |
| 1548415516 | Wal-mart Stores Inc. | Eyewear Supplier (Equipment, not the service) | 5565 20th St, Vero Beach, FL 32966-4632 | 2008-11-18 |
| 1720231228 | Sam's Club Optical | Eyewear Supplier (Equipment, not the service) | 5565 20th St, Vero Beach, FL 32966-4632 | 2008-10-28 |
| 1740455526 | Eye Clinic of Vero Inc | Eyewear Supplier (Equipment, not the service) | 634 21st St, Vero Beach, FL 32960-0933 | 2008-04-23 |
| 1669664660 | Treasure Coast Eye Associates, Pa | Eyewear Supplier (Equipment, not the service) | 333 17th St, Ste. G, Vero Beach, FL 32960-5670 | 2007-08-14 |
| 1275743304 | Lifestyle Optical | Eyewear Supplier (Equipment, not the service) | 89 Royal Palm Pt, Vero Beach, FL 32960-4253 | 2007-05-24 |
| 1336294347 | Lks Holdings, Inc. | Eyewear Supplier (Equipment, not the service) | 792 S Us Highway 1, Vero Beach, FL 32962-4701 | 2007-01-23 |
| 1205900636 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 6200 20th St, Indian River Mall Ste #300, Vero Beach, FL 32966-1079 | 2006-11-18 |
| Find all providers in VERO BEACH | ||||
| City | VERO BEACH |
| Zip Code | 32960 |
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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.