DR. ROBERT MARC MANDELKORN (NPI# 1457455990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457455990 |
| Entity Type | Individual |
| Full Name | DR. ROBERT MARC MANDELKORN |
| Credential | M.D. |
| Practice Address |
3033 Winkler Avenue Ext Fort Myers FL 33916-9413 |
| Practice Telephone | 2399393939 |
| Practice Fax Number | 2399316106 |
| Mailing Telephone | 2399393939 |
| Mailing Fax Number | 2399316106 |
| Enumeration Date | 2006-09-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME80929 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA NUMBER | AM9445734 | 01 |
| Street Address |
3033 WINKLER AVENUE EXT |
| City | FORT MYERS |
| State | FL |
| Zip Code | 33916-9413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639165301 | Gerald Leslie Arenstein | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2005-09-27 |
| 1164728697 | Ronald Roy Spencer Sr. | Counselor | 3033 Winkler Avenue Ext, Va Outpatient Clinic, Fort Myers, FL 33916-9413 | 2011-02-01 |
| 1922310689 | Kimberly Marie Argudin Spilman | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2010-07-10 |
| 1760611792 | Dustin Scot Edwards | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-07-13 |
| 1952548430 | Wendy Dean | Pharmacist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2009-01-20 |
| 1417106816 | Mary B Morgan | Student in an Organized Health Care Education/Training Program | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2008-09-10 |
| 1811150089 | Thomas Frederick Mattras | Internal Medicine | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2008-07-08 |
| 1891913257 | Panee Tantranond | Clinic/Center | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2007-04-23 |
| 1548390883 | Mary Cynthia Noel | Nurse Practitioner | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2007-03-06 |
| 1184750358 | Peter Anthony Pantera | Podiatrist | 3033 Winkler Avenue Ext, Fort Myers, FL 33916-9413 | 2007-02-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982251377 | Tamara Alvarez | Behavioral Analyst | 3717 Metro Pkey, Apt 3207, Fort Myers, FL 33916 | 2019-08-21 |
| 1457853798 | Grant Community Residential Home | Community Health Worker | 2252 Wright Street (a), Fort Myers, FL 33916 | 2018-03-02 |
| 1811345887 | Alexis Walker | Specialist/Technologist | 1407 Gardenia Avenue, Fort Myers, FL 33916 | 2016-05-31 |
| 1346698669 | Irving Radiology, Inc | Radiology | 4110 Center Pointe Dr Ste 210, Fort Myers, FL 33916 | 2016-05-26 |
| 1629452347 | Ashley Ann Alberts | Nurse Practitioner | 4315 Metro Parkway, Suite 150, Fort Myers, FL 33916 | 2015-07-13 |
| 1932442837 | Nicolas Alonzo Bolanos | Counselor | 4150 Ford Street Extension, Fort Myers, FL 33916 | 2013-03-29 |
| 1588936785 | Optum Infusion Services 204, Inc. | Home Health | 4220 Executive Circle, Suite 62, Fort Myers, FL 33916 | 2012-02-02 |
| 1700181047 | Michele Lintz | Case Manager/Care Coordinator | 1280 Maravilla Lane, Ft Myers, FL 33916 | 2011-01-18 |
| 1821399114 | Dollar Rx Pharmacy | Pharmacy | 2950 Winkler Ave # 701, Fort Myers, FL 33916 | 2010-11-03 |
| 1942494687 | Benjamin M. Lowe | Pharmacist | 3033 Winkler Ave Ext, Fort Myers, FL 33916 | 2007-09-05 |
| Find all providers in zip 33916 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871020669 | Fort Myers Medical Universer | Ophthalmology | 4531 Deleon St, Fort Myers, FL 33907-1278 | 2017-05-11 |
| 1235557166 | Maximilian R. Padilla | Ophthalmology | 13470 Parker Commons Blvd Ste 101, Fort Myers, FL 33912-1850 | 2014-03-28 |
| 1821227331 | Jessica Jane Kovarik | Ophthalmology | 9800 S Healthpark Dr Ste 110, Fort Myers, FL 33908-3630 | 2009-07-06 |
| 1174659536 | Bradford S. Prokop | Ophthalmology | 11520 Compass Point Dr, Fort Myers, FL 33908-4926 | 2007-02-27 |
| 1770659856 | Southwest Florida Eye Care, L.l.c | Ophthalmology | 6850 International Cntr Blvd, Fort Myers, FL 33912-7129 | 2006-11-28 |
| 1396836037 | Florentino E Palmon | Ophthalmology | 6850 International Center Boulevard, Fort Myers, FL 33912-7129 | 2006-09-27 |
| 1437189701 | Vinod Bhavnani | Ophthalmology | 6810 Porto Fino Cir, Fort Myers, FL 33912-7140 | 2006-07-03 |
| 1356382725 | Ophthalmic Facial Plastic Surgery Specialists | Ophthalmology | 7331 College Parkway, Suite 200, Fort Myers, FL 33907 | 2006-06-09 |
| 1972550622 | Hussein Wafapoor | Ophthalmology | 1567 Hayley Ln, Suite 101, Fort Myers, FL 33907-2109 | 2006-05-28 |
| 1194777185 | Albert E Smolyar | Ophthalmology | 6850 International Center Blvd, Fort Myers, FL 33912 | 2006-05-17 |
| Find all providers in FORT MYERS | ||||
| City | FORT MYERS |
| Zip Code | 33916 |
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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.