STEPHANIE DODD MINERELLA (NPI# 1528684453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528684453 |
| Entity Type | Individual |
| Full Name | STEPHANIE DODD MINERELLA |
| Credential | OD |
| Practice Address |
4337 S Florida Ave Lakeland FL 33813-1654 |
| Mailing Address |
1950 Old Gallows Rd Ste 520 Vienna VA 22182-3970 |
| Practice Telephone | 8636192700 |
| Practice Fax Number | 8636489658 |
| Mailing Telephone | 7038478899 |
| Mailing Fax Number | 5712236780 |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2020-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC005784 | FL | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1251 Lakeland Hills Blvd, Lakeland, FL 338054673 | 8636872260 | 8635950927 |
| 5528 Us Highway 98 N, Lakeland, FL 338093104 | 8638532020 | 8635772008 |
| Street Address |
4337 S FLORIDA AVE |
| City | LAKELAND |
| State | FL |
| Zip Code | 33813-1654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759458 | Gregory N Parrish | Optometrist | 4337 S Florida Ave, Lakeland, FL 33813-1654 | 2005-09-07 |
| 1851762884 | Myeyedr. Optometry of Florida, LLC | Optometrist | 4337 S Florida Ave, Lakeland, FL 33813-1654 | 2015-10-16 |
| 1245578491 | Dustin J Dixon | Optometrist | 4337 S Florida Ave, Lakeland, FL 33813-1654 | 2013-01-23 |
| 1942436993 | Zarrin Mukhtar Naqvi | Optometrist | 4337 S Florida Ave, Lakeland, FL 33813-1654 | 2009-06-04 |
| 1295722908 | Elizabeth Parrish Roberts | Optometrist | 4337 S Florida Ave, Lakeland, FL 33813-1654 | 2005-09-29 |
| 1548257264 | Phillips Salomon & Parrish Pa | Optometrist | 4337 S Florida Ave, Lakeland, FL 33813-1654 | 2005-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427600030 | Genesis Vieyra Lopez | Nurse Practitioner | 631 Mid Florida Drive, Lakeland, FL 33813 | 2019-07-13 |
| 1306323340 | Sandrene Smart | Clinic/Center | 625 Commerce Dr. (suite 103), Lakeland, FL 33813 | 2018-07-23 |
| 1033560586 | Charles D. Llano, D.d.s. | Dentist | 320 West Highland Drive, Lakeland, FL 33813 | 2016-06-27 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1609234905 | Care and Life LLC | In Home Supportive Care | 6526 Fox Tree Lane, Lakeland, FL 33813 | 2016-02-02 |
| 1558731158 | Lori Ann Smith | Nurse Practitioner | 6030 S. Florida Ave, Suite 110, Lakeland, FL 33813 | 2015-09-25 |
| 1891182143 | Advanced Integrated Care Organization, LLC | Health Maintenance Organization | 5423 S. Florida Ave, Lakeland, FL 33813 | 2015-04-23 |
| 1902292352 | Central Health Associates | Internal Medicine | 4925 Old Rd 37, Lakeland, FL 33813 | 2015-04-13 |
| 1134542848 | Gledia Lovering | Dietitian, Registered | 6420 Highlands In The Woods St, Lakeland, FL 33813 | 2014-01-31 |
| 1134556368 | Billy Rogers | Nurse Anesthetist, Certified Registered | 4513 Orangewood Loop W., Lakeland, FL 33813 | 2013-10-02 |
| Find all providers in zip 33813 | ||||
| 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 |
|---|---|---|---|---|
| 1437798832 | Ayana Pierre | Optometrist | 4121 Us Highway 98 N # A140, Lakeland, FL 33809-3818 | 2020-01-02 |
| 1306408075 | Refractionistas | Optometrist | 1400 S Florida Ave, Lakeland, FL 33803-2257 | 2019-07-02 |
| 1730674102 | Robin Kalloor Thomas | Optometrist | 5319 Kinsley Ln, Lakeland, FL 33812-3824 | 2018-06-27 |
| 1780109082 | Eye See Solutions | Optometrist | 867 Hanover Way, Lakeland, FL 33813-2676 | 2017-08-08 |
| 1912241530 | Lakeland Eye Clinic, Pa | Optometrist | 6743 Us Highway 98 N, Lakeland, FL 33809-6226 | 2012-11-20 |
| 1013108919 | Eye Doctors Optical Outlets Pa | Optometrist | 3654 Harden Blvd, Lakeland, FL 33803-5968 | 2007-08-06 |
| 1679764617 | Eye Doctors Optical Outlets Pa | Optometrist | 4121 Us Highway 98 N, #a-140, Lakeland, FL 33809-3818 | 2007-08-06 |
| 1164572285 | Barton L. Powell | Optometrist | 2961 Canada Rd, Ste 104, Lakeland, TN 38002-4893 | 2007-01-11 |
| 1982792412 | Alan P Fisher | Optometrist | 2025 E Edgewood Dr, Lakeland, FL 33803-3601 | 2006-10-10 |
| 1134212145 | Stuart Kent Harrell | Optometrist | 2004 Cr 540-a, Lakeland, FL 33813 | 2006-10-02 |
| Find all providers in LAKELAND | ||||
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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.