DR. WILLIAM ROB VICKERS (NPI# 1639269798) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639269798 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM ROB VICKERS |
| Credential | M.D. |
| Practice Address |
555 Nw Lake Whitney Pl Ste 105 Port Saint Lucie FL 34986-1623 |
| Practice Telephone | 7724484865 |
| Practice Fax Number | 7724484864 |
| Mailing Telephone | 7724484865 |
| Mailing Fax Number | 7724484864 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2019-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME111532 | FL | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | 066913 | GA | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | LL28968 | SC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 006123300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083766638 | William H. Vickers | Optometrist | 215 North Allison, Barbourville, KY 40906 | 2007-01-16 |
| 1053309302 | William M Vickers | Anesthesiology | 21 Se Third Street, Suite 500, Evansville, IN 47708-1421 | 2005-10-11 |
| 1427086685 | William E Vickers | Anesthesiology | 700 Melvin Ave, Suite 7a, Annapolis, MD 21401-1514 | 2006-06-28 |
| Street Address |
555 NW LAKE WHITNEY PL STE 105 |
| City | PORT SAINT LUCIE |
| State | FL |
| Zip Code | 34986-1623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619423845 | Gulfstream Eye, Pllc | Ophthalmology | 555 Nw Lake Whitney Pl Ste 105, Port Saint Lucie, FL 34986-1623 | 2016-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962992933 | Lindsay B Rojas | Occupational Therapist | 827 Sw Grand Reserves Blvd, Port St Lucie, FL 34986 | 2018-05-15 |
| 1639685266 | Natoya A Queenbourrows | Family Medicine | 2145 Nw Padova St, Port St Lucie, FL 34986 | 2017-12-19 |
| 1740634930 | The Toledo Clinic, LLC | Clinic/Center | 5481 Nw East Torino Parkway, Port St. Lucie, FL 34986 | 2016-04-14 |
| 1326407230 | Merline Smellie | Social Worker | 525 Nw Lake Whitney Place, Ste 102 & 103, Port St Lucie, FL 34986 | 2016-02-19 |
| 1124486949 | Therapy Connection of The Treasure Coast | Speech-Language Pathologist | 549 Nw Lake Whitney Pl Ste 104, Port St Lucie, FL 34986 | 2016-02-08 |
| 1689050015 | Yudelquis Comas Sanchez | Internal Medicine | Lawnwood Regional Medical Center, 1700 S 23rd St, Fort Pierce, FL 34986 | 2015-08-07 |
| 1689056889 | Joshua Chupp | Dentist | 1384 Sw St. Lucie West Blvd, Port St. Lucie, FL 34986 | 2015-06-24 |
| 1366821720 | Kids Therapy Solutions | Occupational Therapist | 161 Sw Palm Dr # 201, Port St Lucie, FL 34986 | 2015-05-19 |
| 1134514086 | Comfortable Care Dental Health Professionals, Pa | Dentist | 1384 Sw St. Lucie, Port St. Lucie, FL 34986 | 2015-03-30 |
| 1750787586 | Timothy Michael Kennedy | Chiropractor | 1680 Sw Saint Lucie West Blvd Ste 204, Port St Lucie, FL 34986 | 2014-11-05 |
| Find all providers in zip 34986 | ||||
| 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 |
|---|---|---|---|---|
| 1164453981 | Alexander Katz | Ophthalmology | 573 Nw Lake Whitney Pl Ste 103, Port Saint Lucie, FL 34986 | 2006-07-06 |
| 1821327412 | William Braeske Dreyer Jr. | Ophthalmology | 1715 Se Tiffany Ave, Port Saint Lucie, FL 34952-7520 | 2009-12-10 |
| 1578601068 | Zayna A Nahas | Ophthalmology | 573 Nw Lake Whitney Pl Ste 103, Port Saint Lucie, FL 34986-1628 | 2007-02-05 |
| 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 | PORT SAINT LUCIE |
| Zip Code | 34986 |
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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.