VITREOUS AND RETINA CONSULTANTS PA (NPI# 1619156080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619156080 |
| Entity Type | Organization |
| Organization Name | VITREOUS AND RETINA CONSULTANTS PA |
| Practice Address |
2815 Lakeland Hills Blvd Suite 200 Lakeland FL 33805-2224 |
| Practice Telephone | 8632975400 |
| Practice Fax Number | 8632938230 |
| Mailing Telephone | 8632975400 |
| Mailing Fax Number | 8632938230 |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2012-01-06 |
| Authorized Official Name | DAVID MISCH (PRESIDENT) |
| Authorized Official Telephone | 8632975400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 372196500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790964179 | Vitreous and Retina Consultants Pa | Ophthalmology | 4180 Us Highway 27 S, Sebring, FL 33870-5515 | 2007-11-01 |
| Street Address |
2815 LAKELAND HILLS BLVD SUITE 200 |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805-2224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640829 | V.j. Tristram Vailoces | Internal Medicine | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2005-06-21 |
| 1558904961 | Brett Jenkins | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2019-10-18 |
| 1982199139 | Daydre Marlene Lanier | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2018-06-28 |
| 1104332790 | Nerida Consuelo Nieves | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2017-12-19 |
| 1275994683 | Reni Grace Pullukat | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2016-03-11 |
| 1902241482 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2013-05-09 |
| 1497090377 | Caroline Craft | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2012-12-04 |
| 1396076006 | Glenn Banez Zaide | Internal Medicine | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2010-01-19 |
| 1407823768 | Robert George Perry | Physician Assistant | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2006-03-07 |
| 1124008156 | Robert Bala | Family Medicine | 2815 Lakeland Hills Blvd, Lakeland, FL 33805 | 2006-01-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
| Find all providers in zip 33805 | ||||
| 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 |
|---|---|---|---|---|
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1417317389 | Eye Specialists of Mid-florida, Pa | Ophthalmology | 2004 Cr 540 A, Lakeland, FL 33813 | 2016-03-04 |
| 1184083016 | Michael Schmitt | Ophthalmology | 1100 Oakbridge Pkwy, Suite 257, Lakeland, FL 33803-5996 | 2016-02-20 |
| 1154414159 | Lakeland Eye Clinic Pa | Ophthalmology | 4708 S Florida Ave, Lakeland, FL 33813-2165 | 2006-10-02 |
| 1730155615 | Jay Mulaney | Ophthalmology | 814 Griffin Road, Lakeland, FL 33805-2440 | 2006-02-28 |
| 1053392209 | Florida Retina Consultants P.a. | Ophthalmology | 2202 Lakeland Hills Blvd, Lakeland, FL 33805-2908 | 2005-11-07 |
| 1700175304 | Robert Jordan Applebaum | Ophthalmology | 1247 Lakeland Hills Blvd, Lakeland, FL 33805-4673 | 2011-04-04 |
| 1275841389 | Eye Specialists of Mid Florida Pa | Ophthalmology | 2025 E Edgewood Dr, Lakeland, FL 33803-3601 | 2010-09-23 |
| 1699935320 | Marlen Leon | Ophthalmology | 4708 S Florida Ave, Lakeland, FL 33813-2165 | 2008-06-16 |
| 1336365451 | Sachin Chhabra | Ophthalmology | 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 | 2007-04-17 |
| 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.