COMMUNITY EYE DISPENSARY (NPI# 1659733392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659733392 |
| Entity Type | Organization |
| Organization Name | COMMUNITY EYE DISPENSARY |
| Practice Address |
21275 Olean Blvd Port Charlotte FL 33952-6704 |
| Mailing Address |
311 Park Place Blvd Fl 5 Clearwater FL 33759-4904 |
| Practice Telephone | 7277550693 |
| Mailing Telephone | 7277550693 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | ARIANA BEDOYA (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7277550693 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| Street Address |
21275 OLEAN BLVD |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238526 | Eric Richard Schaible | Ophthalmology | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2005-07-12 |
| 1346658945 | Tyler Roberts | Optometrist | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2014-07-27 |
| 1790193399 | Chelsea Spalding | Optometrist | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2014-07-27 |
| 1225477748 | Eric Alexander Liss | Ophthalmology | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2013-06-18 |
| 1255648747 | Nicole Elizabeth Alessi | Optometrist | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2010-09-07 |
| 1558599373 | D'aun Marcae Hajdu | Optometrist | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2009-07-01 |
| 1073656989 | Gulf Coast Anesthesia Inc. | Nurse Anesthetist, Certified Registered | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2007-02-14 |
| 1225106081 | Michael A Baskind | Nurse Anesthetist, Certified Registered | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2006-12-01 |
| 1508965104 | Karen M Memoli | Optometrist | 21275 Olean Blvd, Port Charlotte, FL 33952-6703 | 2006-09-21 |
| 1811950439 | Cheryl Simoneau | Optometrist | 21275 Olean Blvd, Port Charlotte, FL 33952-6704 | 2006-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174902944 | Luis Fernandez, Md | Non-Pharmacy Dispensing Site | 2625 Tamiami Trl, Suite 5, Port Charlotte, FL 33952-6403 | 2015-05-26 |
| 1295144541 | Hanson Clinical Research Center, Inc | Non-Pharmacy Dispensing Site | 21216 Olean Blvd, Suite 8, Port Charlotte, FL 33952-6722 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699232 | Orlando Dermatology Clinic LLC | Non-Pharmacy Dispensing Site | 118 W Orange St, Altamonte Springs, FL 32714-2537 | 2020-11-03 |
| 1447857339 | Chen Neighborhood Medical Centers of South Florida, LLC | Non-Pharmacy Dispensing Site | 2445 Nw 62nd St, Miami, FL 33147-7740 | 2020-10-05 |
| 1437765823 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 1228 S Pine Island Rd Ste 110, Plantation, FL 33324-4402 | 2020-09-21 |
| 1407460223 | Daisy Lomadilla Boyer | Non-Pharmacy Dispensing Site | 11703 Holly Creek Dr, Riverview, FL 33569-3356 | 2020-08-31 |
| 1760091078 | West Kendall Baptist Hospital, Inc. | Non-Pharmacy Dispensing Site | 14591 Sw 26th St, Miami, FL 33175-8038 | 2020-07-23 |
| 1821615436 | South Miami Hospital, Inc | Non-Pharmacy Dispensing Site | 8400 Nw 53rd St Ste F106, Doral, FL 33166-4519 | 2020-06-30 |
| 1295358422 | Ezze Pharma LLC | Non-Pharmacy Dispensing Site | 3105 Nw 107th Ave Ste 400, Doral, FL 33172-2215 | 2020-05-21 |
| 1871115436 | Kempcare Inc. | Non-Pharmacy Dispensing Site | 840 Us Highway 1 Ste 435c, N Palm Beach, FL 33408-3829 | 2020-05-17 |
| 1427670595 | Orlando Dermatology Clinic, LLC | Non-Pharmacy Dispensing Site | 3261 Us Highway 441/27 Ste F1, Fruitland Park, FL 34731-4495 | 2020-05-12 |
| 1518593177 | Dedicated Senior Medical Center of Florida, LLC | Non-Pharmacy Dispensing Site | 2724 N Hiawassee Rd Ste 100, Orlando, FL 32818-3008 | 2020-03-16 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on COMMUNITY EYE DISPENSARY.
| 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.