COUNTRYWAY EYECARE (NPI# 1629493887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629493887 |
| Entity Type | Organization |
| Organization Name | COUNTRYWAY EYECARE |
| Practice Address |
6911 Pistol Range Rd Tampa FL 33635-6335 |
| Practice Telephone | 8139253393 |
| Practice Fax Number | 8139253394 |
| Mailing Telephone | 8139253393 |
| Mailing Fax Number | 8139253394 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Authorized Official Name | DR. TARA RUSOFF (PRES) |
| Authorized Official Telephone | 8139253393 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OP3810 | FL | Eye and Vision Services Providers |
| Street Address |
6911 PISTOL RANGE RD |
| City | TAMPA |
| State | FL |
| Zip Code | 33635-6335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831175454 | Laurie Folkman Md | Family Medicine | 6911 Pistol Range Rd, Tampa, FL 33635-6335 | 2005-12-15 |
| 1609318609 | Proven Services, Inc | Home Health | 6911 Pistol Range Rd, Suite 201g, Tampa, FL 33635-6335 | 2016-11-08 |
| 1386004992 | Nadia Martinez | Developmental Therapist | 6911 Pistol Range Rd, Suite 103a, Tampa, FL 33635-6335 | 2016-02-25 |
| 1326454455 | Carol Walsh | Developmental Therapist | 6911 Pistol Range Rd, Tampa, FL 33635-6335 | 2014-07-09 |
| 1558692921 | Sophie Mt Maurice | Massage Therapist | 6911 Pistol Range Rd, 103-a, Tampa, FL 33635-6335 | 2010-01-24 |
| 1952597692 | Optima Home Health Inc | Home Health | 6911 Pistol Range Rd, Suite 103, Tampa, FL 33635-6335 | 2007-09-17 |
| 1093928343 | Transnota Inc | Developmental Therapist | 6911 Pistol Range Rd, Tampa, FL 33635-6335 | 2007-05-07 |
| 1245296599 | Jee Me Kanicky | Optometrist | 6911 Pistol Range Rd, Suite 103b, Tampa, FL 33635-6335 | 2006-04-25 |
| 1043275175 | Luc Emmanuel Kanicky | Optometrist | 6911 Pistol Range Rd, Suite 103b, Tampa, FL 33635-6335 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962927723 | Mobile Medical Care | Nurse Practitioner | 11671 Declaration Drive, Tampa, FL 33635 | 2017-08-13 |
| 1528428638 | Tracy Lee | Behavioral Analyst | 6951 Pistol Ridge Road, Tampa, FL 33635 | 2016-03-02 |
| 1912301409 | Stacey-ann Samuels Taylor | Contractor | 6608 Camden Bay Drive, # 303, Tampa, TAMPA 33635 | 2014-10-13 |
| 1356753438 | Fountain of Youth Alf Inc | Assisted Living Facility | 9001 Bana Villa Ct, Tampa, FL 33635 | 2014-05-23 |
| 1518212646 | The Good Shepherd Sleep Center | Clinic/Center | 13668 W Hillsborough Ave, Tampa, FL 33635 | 2012-07-15 |
| 1033487343 | Crystal A Reinhart | Physical Therapist | 8417 Poydras Lane, Tampa, FL 33635 | 2011-12-01 |
| 1093002768 | Anthony Roosevelt Washington IIi | Family Medicine | 13608 W Hillsborough Ave, Tampa, FL 33635 | 2011-07-01 |
| 1710187778 | Jerome Abutal Abellana | Physical Therapist | 8504 Tidal Bay Ln, Tampa, FL 33635 | 2007-07-18 |
| 1902298433 | Cindy Ceja | Behavioral Analyst | 6951 Pistol Range Rd, Tampa, FL 33635 | 2015-02-20 |
| 1265842249 | Christine Ann Roeper | Technician, Other | 6951 Pistol Range Rd, Tampa, FL 33635 | 2014-04-30 |
| Find all providers in zip 33635 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357240 | Myeyedr Optometry of Florida, LLC | Optometrist | 1108c S Dale Mabry Hwy, Tampa, FL 33629-5007 | 2020-08-21 |
| 1114539749 | National Vision Inc | Optometrist | 13620 University Plaza St, Tampa, FL 33613-4649 | 2020-08-17 |
| 1043821523 | Corinne Speight | Optometrist | 3201 S Dale Mabry Hwy Ste 105, Tampa, FL 33629-7800 | 2020-08-10 |
| 1922623461 | Joseph Gennaro Suriano | Optometrist | 5709 Johns Rd Ste 1209, Tampa, FL 33634-4315 | 2020-06-10 |
| 1760006449 | Chelsea Casaccia | Optometrist | 4407 W Vasconia St, Tampa, FL 33629-8325 | 2020-05-29 |
| 1124515705 | B&b Florida Eye Care Pllc | Optometrist | 8504 Citrus Park Dr, Tampa, FL 33625-3003 | 2018-04-18 |
| 1053808097 | Marianne Banales | Optometrist | 3030 N Rocky Point Dr W Ste 170, Tampa, FL 33607-7201 | 2018-04-16 |
| 1164935474 | Elevate Your Existence, LLC | Optometrist | 8150 Citrus Park Town Center Mall Spc 1100, Tampa, FL 33625-3181 | 2017-11-08 |
| 1952812497 | Newsom Eye & Laser Center, Inc. | Optometrist | 113 S Armenia Ave, Tampa, FL 33609-3307 | 2017-10-23 |
| 1235528134 | Matthew D. Helsing O.d., P.a. | Optometrist | 1108 S Dale Mabry Hwy, Suite C, Tampa, FL 33629-5007 | 2015-01-15 |
| Find all providers in TAMPA | ||||
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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.