MR. JONATHAN DAVID WIEBOLD (NPI# 1598881393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598881393 |
| Entity Type | Individual |
| Full Name | MR. JONATHAN DAVID WIEBOLD |
| Credential | L.D.O. |
| Practice Address |
706 Nw 23rd Ave Gainesville FL 32609-8524 |
| Mailing Address |
706 Nw 23 Ave. Gainesville FL 32609 |
| Practice Telephone | 3523670077 |
| Practice Fax Number | 3523670079 |
| Mailing Telephone | 3523670077 |
| Mailing Fax Number | 3523670079 |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO 5342 | FL | Eye and Vision Services Providers |
| Street Address |
706 NW 23RD AVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32609-8524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265552889 | Adonis Optical, Inc. | Technician/Technologist | 706 Nw 23rd Ave, Gainesville, FL 32609-8524 | 2007-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285244707 | Bright Dme LLC | Durable Medical Equipment & Medical Supplies | 4306 Nw 13th Street, Gainesville, FL 32609 | 2020-08-10 |
| 1144799537 | Kimberly Laverna Peterson | Home Health Aide | 636 Nw 26th Ave Apt 119e, Gainesville, FL 32609 | 2018-11-15 |
| 1548712318 | Rebecca Maligno | Social Worker | 825 Nw 23rd Ave Bldg 3 St A, Gainesville, FL 32609 | 2016-10-27 |
| 1023470960 | Laura J Perry | Counselor | 1707 North Main St, Family Medicine At Main, Gainesville, FL 32609 | 2016-03-21 |
| 1336543131 | Christine Brunetti | Pharmacist | 2500 N. Main St, Gainesville, FL 32609 | 2014-10-22 |
| 1114352713 | Samuel Jones IIi | Pharmacist | 2500 N. Main St., Gainesville, FL 32609 | 2013-09-13 |
| 1912348228 | Timothy Manning Rogers | Pharmacist | 2046 Ne Waldo Road, Room 2227, Gainesville, FL 32609 | 2013-07-15 |
| 1205277514 | Arthur Emrie Wharton | Pharmacist | 2046 Waldo Road, Ne, Suite 2200, Gainesville, FL 32609 | 2013-07-15 |
| 1003102864 | Rocky Mountain Holdings LLC | Ambulance | 4375 Ne 48th Ave, Gainesville, FL 32609 | 2011-06-21 |
| 1760774939 | Kyle Edwin Jersey | Registered Nurse | 1128 Ne 20th Place, Gainesville, FL 32609 | 2011-05-06 |
| Find all providers in zip 32609 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275925281 | Maude Hough | Technician/Technologist | 4605 Nw 6th St Ste 2c, Gainesville, FL 32609-4197 | 2015-02-27 |
| 1972840098 | Wal-mart Stores East, Lp | Technician/Technologist | 5700 Nw 34th St, Gainesville, FL 32653-2016 | 2013-01-09 |
| 1235385261 | Thirteenth Street Optical Co., Inc. | Technician/Technologist | 3720 Nw 13th St. #12, Gainesville, FL 32609-5911 | 2008-08-11 |
| 1881813145 | America's Best Contacts & Eyeglasses | Technician/Technologist | 891 Dawsonville Hwy, Ste 170, Gainesville, GA 30501-2640 | 2007-04-25 |
| 1891894374 | Sam's Club Optical | Technician/Technologist | 2801 Nw 13th St, Gainesville, FL 32609-2833 | 2006-09-21 |
| 1356459762 | Optical Laboratory LLC | Technician/Technologist | 618 Sw 4th Avenue, Gainesville, FL 32601 | 2006-08-26 |
| 1821449299 | Wal-mart Stores East, Lp | Technician/Technologist | 2900 Sw 42nd St, Gainesville, FL 32608-2379 | 2016-06-28 |
| 1760824965 | Patricia L Brewer | Technician/Technologist | 4340 Newberry Rd., Suite 301, Gainesville, FL 32607-2557 | 2013-07-29 |
| 1720232648 | Four H Optical | Technician/Technologist | 2441 Nw 43rd St, Suite 2c, Gainesville, FL 32606-7469 | 2008-11-05 |
| 1851574107 | William Hogan | Technician/Technologist | 6830 Nw 11th Pl, Suite C, Gainesville, FL 32605-4254 | 2007-12-10 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32609 |
Please comment or provide details below to improve the information on MR. JONATHAN DAVID WIEBOLD.
| 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.