GEORGE WILLIAM DOOLIN JR. (NPI# 1396741633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396741633 |
| Entity Type | Individual |
| Full Name | GEORGE WILLIAM DOOLIN JR. |
| Credential | OD |
| Practice Address |
417a Racetrack Rd Nw Fort Walton Beach FL 32547-4600 |
| Mailing Address |
15933 Clayton Rd Suite 201 Ballwin MO 63011-2172 |
| Practice Telephone | 8503158861 |
| Practice Fax Number | 8508642844 |
| Mailing Telephone | 6362004393 |
| Mailing Fax Number | 6365270838 |
| Enumeration Date | 2005-06-22 |
| Last Update Date | 2017-08-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1405 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUECROSSBLUESHIELD | 19465 | 01 |
| FL | TRICARE | 593537436 | 01 |
| EYEMED | A11078 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811161110 | George Gregory Doolin | Chiropractor | 2600 Dodge St, Dubuque, IA 52003-7159 | 2008-04-17 |
| Street Address |
417A RACETRACK RD NW |
| City | FORT WALTON BEACH |
| State | FL |
| Zip Code | 32547-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144492182 | Sight and Sun Eyeworks LLC | Optometrist | 417a Racetrack Rd Nw, Fort Walton Beach, FL 32547-4600 | 2008-03-31 |
| 1457442741 | Andrew Franklin Ringel | Internal Medicine | 417a Racetrack Rd Nw, Suite 2, Fort Walton Beach, FL 32547-4600 | 2006-09-28 |
| 1962471987 | Alicia R. Morneault | Physician Assistant | 417a Racetrack Rd Nw, Suite 2, Fort Walton Beach, FL 32547-4600 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255944955 | Theresa Ann Morvay | Behavior Technician | 419 Racetrack Rd Ne, Fort Walton Beach, FL 32547 | 2020-08-24 |
| 1588295422 | Emily Ann Glossop | Nurse Practitioner | 930 Mar Walt Drive C, Fort Walton Beach, FL 32547 | 2020-01-29 |
| 1225669443 | Elizabeth Rogers Nagengast | Physician Assistant | 930 Mar Walt Drive, Unit C, Fort Walton Beach, FL 32547 | 2020-01-27 |
| 1497254791 | Carmen Alston | Nurse Practitioner | 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 | 2018-02-02 |
| 1871004960 | Center for Neuropsychological Services Cns | Clinical Neuropsychologist | 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 | 2017-10-17 |
| 1194235648 | Robin Wray | Speech-Language Pathologist | 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 | 2017-10-10 |
| 1285007989 | Dynamic Pain & Wellness Pllc | Pain Medicine | 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 | 2015-11-04 |
| 1013392810 | Terry Abbott | Social Worker | 648 Overbrook Dr, Fort Walton Beach, FL 32547 | 2015-07-22 |
| 1083024673 | Emily Lohr | Physical Therapy Assistant | 2000 Principle Ln, Ft. Walton Beach, FL 32547 | 2014-05-05 |
| 1831526102 | Laurie Ann Schweppe | Nurse Practitioner | 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 | 2013-10-02 |
| Find all providers in zip 32547 | ||||
| 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 |
|---|---|---|---|---|
| 1649550534 | Dr. Rhonda Hendrix Pa | Optometrist | 748 Beal Parkway Nw, Fort Walton Beach, FL 32547 | 2011-08-23 |
| 1043526205 | Dr R Keith Amiel-optometrist P A | Optometrist | 36 Eglin Pkwy Ne, Fort Walton Beach, FL 32548-4915 | 2010-08-26 |
| 1316966690 | George D. Edlund | Optometrist | 50 Ne Eglin Parkway, Fort Walton Beach, FL 32548-4957 | 2006-07-18 |
| 1811963630 | Rhonda Ayers Hendrix | Optometrist | 748 Beal Pkwy Nw, Fort Walton Beach, FL 32547-3002 | 2006-02-23 |
| 1396721650 | Jennifer Rebecca Goette | Optometrist | 350 Racetrack Rd Nw Ste C, Fort Walton Beach, FL 32547-1554 | 2005-12-19 |
| 1316942311 | Michael Alan Fregger | Optometrist | 17 Racetrack Rd Nw, Ste A, Fort Walton Beach, FL 32547-4607 | 2005-06-16 |
| 1437494572 | Kelli L. Parks, Od, LLC | Optometrist | 740 Beal Pkwy Nw, Fort Walton Beach, FL 32547-3002 | 2012-11-30 |
| 1235389651 | Jennifer R Goette Od Pa | Optometrist | 350 Racetrack Rd Nw, Suite C, Fort Walton Beach, FL 32547-1554 | 2008-09-22 |
| 1144492182 | Sight and Sun Eyeworks LLC | Optometrist | 417a Racetrack Rd Nw, Fort Walton Beach, FL 32547-4600 | 2008-03-31 |
| 1124298401 | George D. Edlund O.d., P.a. | Optometrist | 50 Ne Eglin Parkway, Fort Walton Beach, FL 32548-4957 | 2008-03-03 |
| Find all providers in FORT WALTON BEACH | ||||
| City | FORT WALTON BEACH |
| Zip Code | 32547 |
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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.