DR. MITCHELL S BIDERMAN (NPI# 1669493102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669493102 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL S BIDERMAN |
| Credential | OD |
| Practice Address |
10077 South Federal Highway Port St Lucie FL 34952-4778 |
| Mailing Address |
10077 South Federal Highway Port St Lucie FL 34952 |
| Practice Telephone | 7723983244 |
| Practice Fax Number | 7723988090 |
| Mailing Telephone | 7723983244 |
| Mailing Fax Number | 7723988090 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-12-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1718 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | RAILROAD | 410049282 | 01 |
| FL | BC/BS | 19949 | 01 |
| FL | 620802900 | 05 |
| Street Address |
10077 SOUTH FEDERAL HIGHWAY |
| City | PORT ST LUCIE |
| State | FL |
| Zip Code | 34952-4778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215587068 | Carehere LLC | Family Medicine | Carehere Clinic- St. Lucie Psl, 1680 Se Lyngate Drive, Port St Lucie, FL 34952 | 2019-09-13 |
| 1255998274 | Morningside Alf | Assisted Living Facility | 2233 Se Mroningside Alf, Port Saint Lucie, FL 34952 | 2019-05-24 |
| 1336611870 | Med Braces and Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1484 Se Village Green Dr, Port St Lucie, FL 34952 | 2018-12-21 |
| 1689143794 | The Gift of Recovery, LLC | Counselor | 1801 Sw Hillmoor Drive, Suite C-101, Port St. Lucie, FL 34952 | 2018-11-19 |
| 1457830853 | Cathy L Sonier | Counselor | 357 Brazilian Circle, Port St Lucie, FL 34952 | 2018-08-07 |
| 1548756661 | Blo 7 Diabetes Institute Inc | Nutritionist | 1700 Sw Hillmoor Dr., Suite 305, Port St. Lucie, FL 34952 | 2018-07-02 |
| 1780194464 | Doctor's Choice Medical Center | Clinic/Center | 9164 S Us Highway 1, Port St Lucie, FL 34952 | 2017-10-06 |
| 1801305644 | Thandiwe Daley | Behavior Technician | 1935 Se Hillmoor Drive, Apt#159, Port St Lucie, FL 34952 | 2017-09-25 |
| 1700309408 | Lagrand Evan Andrews | Assistant Behavior Analyst | 265 Se Lenard Rd. Apartment 307, Port St. Lucie, FL 34952 | 2017-07-25 |
| 1578085148 | Lavetta S Ivey | Behavior Technician | 7190 Us Federal Hwy 1, Port Saint Lucie, FL 34952 | 2017-07-14 |
| Find all providers in zip 34952 | ||||
| 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 |
|---|---|---|---|---|
| 1124672795 | Daniel M Durante Od Pa | Optometrist | 954 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1766 | 2019-07-31 |
| 1285125419 | Hillmoor Optometric Pllc | Optometrist | 8960 S Us Highway 1, Port St Lucie, FL 34952-3403 | 2018-05-23 |
| 1275978835 | Colean Services, Inc. | Optometrist | 10855 S Federal Hwy, Port St Lucie, FL 34952-6410 | 2013-05-08 |
| 1699948695 | Betty Zondag | Optometrist | 8960 S Federal Hwy, Port St Lucie, FL 34952-3403 | 2008-04-10 |
| 1306046925 | Tari Lee Schmit | Optometrist | 1331 Se Port St Lucie Blvd Ste 103, Port St Lucie, FL 34952-5331 | 2007-07-22 |
| 1881601631 | Caryn L Morrison | Optometrist | 1302 Sw St Lucie West Blvd, Port St Lucie, FL 34951 | 2006-08-02 |
| 1821019290 | Brandi Marie Frey | Optometrist | 986 Sw Saint Lucie West Blvd, Port St Lucie, FL 34986-1766 | 2006-07-21 |
| 1902849623 | Jesse Gibson | Optometrist | 373 Nw Curry St, Port St Lucie, FL 34983-1626 | 2006-06-13 |
| 1013960483 | Christopher A Frey | Optometrist | 514 Sw Prima Vista Blvd, Port St Lucie, FL 34983-8734 | 2006-05-18 |
| 1801881354 | Vera G Demasi | Optometrist | 1750 Sw Gatlin Blvd, Port St Lucie, FL 34953-2777 | 2005-09-12 |
| Find all providers in PORT ST LUCIE | ||||
| City | PORT ST LUCIE |
| Zip Code | 34952 |
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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.