EYE SPECIALISTS OF MID FLORIDA, PA (NPI# 1588990758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588990758 |
| Entity Type | Organization |
| Organization Name | EYE SPECIALISTS OF MID FLORIDA, PA |
| Practice Address |
2800 A Ridge Way Suite 100 Lake Wales FL 33859 |
| Mailing Address |
407 Avenue K Se Winter Haven FL 33880-4126 |
| Practice Telephone | 8636762008 |
| Practice Fax Number | 8636766638 |
| Mailing Telephone | 8632943504 |
| Mailing Fax Number | 8632990096 |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2013-03-12 |
| Authorized Official Name | DANIEL WELCH (PRESIDENT) |
| Authorized Official Telephone | 8632943504 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | EYE SPECIALISTS OF MID FLORIDA P.A. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME32357 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMERC | 0585110002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1700370616 | Eye Specialists of Mid Florida, Pa | Clinic/Center | 202 Magnolia Ave, Auburndale, FL 33823-4204 | 2018-06-15 |
| 1497081665 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 100 Patterson Rd, Haines City, FL 33844-7840 | 2009-10-23 |
| 1487980967 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 5032 Us Highway 27 N, Sebring, FL 33870-1354 | 2009-10-19 |
| 1760718936 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 1050 Us Highway 27, Suite 1, Clermont, FL 34714-7508 | 2009-10-23 |
| Street Address |
2800 A RIDGE WAY SUITE 100 |
| City | LAKE WALES |
| State | FL |
| Zip Code | 33859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669660346 | Julia R King | Optometrist | 2800 A Ridge Way, Suite 100, Lake Wales, FL 33859-7762 | 2007-10-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740699982 | Pm Radiology P L | Radiology | 23607 Us Highway 27, Lake Wales, FL 33859 | 2014-08-12 |
| 1841583929 | Marcus Anthony Jahna | Chiropractor | 23857 Hwy 27, Lake Wales, FL 33859-0000 | 2011-05-23 |
| 1114439866 | Michelle Lora Mendez | Early Intervention Provider Agency | 4360 Dinner Lake Blvd, Lake Wales, FL 33859-2129 | 2017-11-02 |
| 1245506013 | Barbara Louise Collette | Pharmacist | 217 Dinner Lake Loop, Lake Wales, Lake Wales, FL 33859-2153 | 2012-03-27 |
| 1558434852 | Yesenia Dejesus-suarez | Nurse Anesthetist, Certified Registered | 205 Dinner Lake Loop, Lake Wales, FL 33859-2153 | 2006-11-16 |
| 1164021176 | Dave Aaron Dangan | Physical Therapist | 1750 Longleaf Blvd Ste 5&6, Lake Wales, FL 33859-2504 | 2020-10-21 |
| 1144855933 | Sandra Collins Domanski | Physical Therapist | 1750 Longleaf Blvd # 5&6, Lake Wales, FL 33859-2504 | 2020-03-11 |
| 1437394541 | Central Florida Health Systems, Inc | Specialist | 2301 Longleaf Blvd Ste 200, Lake Wales, FL 33859-2542 | 2008-12-04 |
| 1639303688 | U.S. Home Health Care Services, Corp | Home Health | 14440 Us Highway 27, Lake Wales, FL 33859-2546 | 2009-05-06 |
| 1891730446 | Gregory Deroan Catrett | Specialist/Technologist | 13895 Hwy 27, Lake Wales, FL 33859-2549 | 2006-06-18 |
| Find all providers in zip 33859 | ||||
| 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 |
|---|---|---|---|---|
| 1487643649 | Roy Z Braunstein Md Pa | Ophthalmology | 749 State Road 60 E, Lake Wales, FL 33853-4240 | 2005-10-19 |
| 1235328444 | Roy Z Braunstein | Ophthalmology | 749 State Road 60 E, Lake Wales, FL 33853-4240 | 2007-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | LAKE WALES |
| Zip Code | 33859 |
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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.