OPTIGEN INCORPORATED (NPI# 1578592309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578592309 |
| Entity Type | Organization |
| Organization Name | OPTIGEN INCORPORATED |
| Practice Address |
1351 13th Ave S Ste 100 Jacksonville Beach FL 32250-3234 |
| Practice Telephone | 9042491046 |
| Practice Fax Number | 8773390180 |
| Mailing Telephone | 9042491046 |
| Mailing Fax Number | 8773390180 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2014-12-03 |
| Authorized Official Name | BRIAN NANNIE (AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 7275307700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 2141 | FL | Suppliers |
| Street Address |
1351 13TH AVE S STE 100 |
| City | JACKSONVILLE BEACH |
| State | FL |
| Zip Code | 32250-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105434 | Anthony L Capasso | Internal Medicine | 1351 13th Ave S, Jacksonville Beach, FL 32250-3234 | 2005-06-21 |
| 1306368469 | Allison Krebs | Nurse Practitioner | 1351 13th Ave S, Jacksonville Beach, FL 32250-3234 | 2017-07-11 |
| 1528393717 | Beaches Eye Center, Pa | Ophthalmology | 1351 13th Ave S, Suite 120-a, Jacksonville Beach, FL 32250 | 2009-10-06 |
| 1699936492 | Dr. Anthony L. Capasso M. D. | Specialist | 1351 13th Ave S, Ste # 110, Jacksonville Beach, FL 32250-3234 | 2008-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386129591 | Kelsey Ilene Keimig | Audiologist | 3200 S 3rd Street, Ste 101, Jacksonville, FL 32250 | 2018-10-03 |
| 1225529696 | Turning Tides Eating Disorder Treatment Center, LLC. | Clinic/Center | 4300 Marsh Landings Blvd. #101, Jacksonville Beach, FL 32250 | 2018-05-22 |
| 1528578820 | Dianne Frances Gay | Dental Hygienist | 1144 14th Street North, Jacksonville Beach, FL 32250 | 2017-10-02 |
| 1801324280 | Kailo Nutrition | Dietitian, Registered | 353 B 6th Street South, Jacksonville, FL 32250 | 2017-05-30 |
| 1275985368 | Shankeertha Sundaralingam | Dentist | 3316 3rd St S Ste 101, Jacksonville Beach, FL 32250 | 2016-07-13 |
| 1851777494 | Brooke Worthington Davidson | Audiologist | 1370 13th Ave S Ste 115, Jacksonville Beach, FL 32250 | 2015-08-05 |
| 1689059115 | Jenna Levine | Speech-Language Pathologist | 779 10th Avenue South, Jacksonville Beach, FL 32250 | 2015-07-27 |
| 1790176824 | Olivia Ingram Caswell | Acupuncturist | 2902 Isabella Boulevard, Suite 50, Jacksonville Beach, FL 32250 | 2015-02-11 |
| 1467859033 | Colleen Freeman | Physical Therapist | 1537 Penman Rd, Jacksonville, FL 32250 | 2014-11-26 |
| 1356750012 | Madelyn Jones | Physical Therapist | 1320 Roberts Drive, Jacksonville Beach, FL 32250 | 2014-08-07 |
| Find all providers in zip 32250 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205121191 | Airemed Inc. | Durable Medical Equipment & Medical Supplies | 436-b Osceola Ave., Jacksonville Beach, FL 32250 | 2011-06-18 |
| 1972802023 | Ss Fusion Medical, Inc. | Durable Medical Equipment & Medical Supplies | 1525b The Greens Way, Jacksonville Beach, FL 32250-2449 | 2011-03-15 |
| 1427383215 | Integrative Healthcare Solutions, Inc | Durable Medical Equipment & Medical Supplies | 1313 Beach Blvd, Suite C, Jacksonville Beach, FL 32250-3429 | 2009-10-12 |
| 1134356835 | In The Pink Boutique, Inc. | Durable Medical Equipment & Medical Supplies | 522 3rd St N, Jacksonville Beach, FL 32250-7031 | 2009-06-19 |
| 1841364734 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 1282 3rd St S, Jacksonville Beach, FL 32250-6410 | 2006-11-20 |
| 1477662070 | Thomas Enterprizes | Durable Medical Equipment & Medical Supplies | 4126 3rd St S, Jacksonville Beach, FL 32250-5833 | 2006-08-29 |
| 1528073764 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 5 3rd St N, Jacksonville Beach, FL 32250-6930 | 2006-07-29 |
| 1902828544 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 490 Marsh Landing Pkwy, Jacksonville Beach, FL 32250-5855 | 2006-07-24 |
| 1528004108 | Southeastern Medequip, Inc. | Durable Medical Equipment & Medical Supplies | 905 North 3rd Street, Jacksonville Beach, FL 32250 | 2006-06-21 |
| 1811938319 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 670 Marsh Landing Pkwy, Jacksonville Beach, FL 32250-5850 | 2006-06-08 |
| Find all providers in JACKSONVILLE BEACH | ||||
| City | JACKSONVILLE BEACH |
| Zip Code | 32250 |
Please comment or provide details below to improve the information on OPTIGEN INCORPORATED.
| 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.