DR. SHAHAN A. MANGUIKIAN (NPI# 1568410702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568410702 |
| Entity Type | Individual |
| Full Name | DR. SHAHAN A. MANGUIKIAN |
| Credential | O.D. |
| Practice Address |
8061 Spyglass Hill Rd Ste 104a Viera FL 32940-8297 |
| Mailing Address |
8061 Spyglasshill Rd Suite 104a Viera FL 32940 |
| Practice Telephone | 3217516609 |
| Practice Fax Number | 3217516033 |
| Mailing Telephone | 3217516609 |
| Mailing Fax Number | 3217516033 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2014-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
OP 2715 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 085917600 | 05 |
| Street Address |
8061 SPYGLASS HILL RD STE 104A |
| City | VIERA |
| State | FL |
| Zip Code | 32940-8297 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 152WC0802X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Corneal and Contact Management |
| The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea’s ability to sustain successful contact lens wear, and treatment of any external eye or corneal condition which can affect contact lens wear. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417960881 | Gordon J Penn | Optometrist | 8500 N Wickham Rd, Viera, FL 32940-6600 | 2006-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173987 | Yunuseyeassociates,pa | Optometrist | 3950 S Us Hwy 17/92, Ste 1008, Casselberry, FL 32707-3270 | 2020-04-24 |
| 1053978122 | Yanara Barreras | Optometrist | 8888 Sw 136th St Ste 391, Miami, FL 33176-5801 | 2019-05-23 |
| 1700378163 | Lindsey Marie Walsh | Optometrist | 601 E Dixie Ave Ste 201, Leesburg, FL 34748-5991 | 2018-06-01 |
| 1225574783 | Miramar Vision Center | Optometrist | 9939 Miramar Pkwy, Miramar, FL 33025-2397 | 2017-01-09 |
| 1366807653 | Isee Eyecare Mobile, Inc. | Optometrist | 10860 Nw 37th Ct, Coral Springs, FL 33065-2701 | 2015-12-31 |
| 1053789644 | Eyepromote, Inc. | Optometrist | 2775 Nw 49th Ave, Suite 205-146, Ocala, FL 34482-6212 | 2015-09-13 |
| 1982086211 | Florida Eye Doctors, Inc | Optometrist | 1000 North Congress Avenue Suite 150, Boynton Beach, FL 33426-3337 | 2015-06-23 |
| 1760877757 | Kenneth Maller | Optometrist | 5333 N Dixie Hwy Ste 101, Oakland Park, FL 33334-3453 | 2015-04-06 |
| 1013314681 | Precision Eye Care Center LLC | Optometrist | 4900 N Highway 19a, Mount Dora, FL 32757-2042 | 2014-11-26 |
| 1801293709 | Debra A. Shim, Od, Pa | Optometrist | 451 University Blvd Ste 102, Jupiter, FL 33458-3102 | 2014-11-21 |
| Find all providers with the same taxonomy | ||||
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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.