DR. GERALD HAZOURI (NPI# 1689635104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689635104 |
| Entity Type | Individual |
| Full Name | DR. GERALD HAZOURI |
| Credential | M.D. |
| Practice Address |
708 E University Ave Gainesville FL 32601 |
| Mailing Address |
708 E University Ave Gainesville FL 32601-5509 |
| Practice Telephone | 3523734300 |
| Practice Fax Number | 3523721641 |
| Mailing Telephone | 3523734300 |
| Mailing Fax Number | 3523721641 |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME13279 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BLUE CROSS BLUE SHIELD FL | 01884 | 01 |
| FL | AVMED HEALTH PLAN | 209027 | 01 |
| FL | 049691000 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4313 Nw 8th Avenue, Gainesville, FL 32605 | 3523734300 |
| Street Address |
708 E UNIVERSITY AVE |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184684359 | Walter H Marshall | Ophthalmology | 708 E University Ave, Gainesville, FL 32601-5509 | 2006-03-23 |
| 1437264215 | Gainesville Eye Physicians Pa | Ophthalmology | 708 E University Ave, Gainesville, FL 32601-5509 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316584675 | Gainesville Peer Respite, Inc. | Peer Specialist | 728 E. University Avenue, Gainesville, FL 32601 | 2019-12-05 |
| 1376008375 | Three Treasures Holistic Care, LLC | Counselor | 2727 B Nw 43rd St, Suite B, Gainesville, FL 32601 | 2019-02-04 |
| 1376060301 | Healing Elements Integrative Acupuncture LLC | Acupuncturist | 305 Se 2cd Ave, Gainesville, FL 32601 | 2017-08-30 |
| 1477078327 | Lisa Anderson | Acupuncturist | 1000 Ne 16th Ave Bldg I Suite A, Gainesville, FL 32601 | 2017-08-11 |
| 1336590892 | Cheryl Fraley | Counselor | 1408 Nw 6th Street, Gainesville, FL 32601 | 2016-06-27 |
| 1710357363 | Erika Chase | Acupuncturist | 305 Se 2cd Avenue, Gainesville, FL 32601 | 2015-09-25 |
| 1811300148 | Stephanie Adamczak | Student in an Organized Health Care Education/Training Program | 1149 South Newell Drive, Gainesville, FL 32601 | 2014-06-04 |
| 1477979441 | Mary Santello | Mechanotherapist | 115 Ne 6th Terrace, Suite 205, Gainesville, FL 32601 | 2014-03-13 |
| 1740628957 | Caitlyn Kloss | Specialist | 900 Nw 8th Avenue, Gainesville, FL 32601 | 2013-06-10 |
| 1992054886 | Anthony Lorne Johnson | Massage Therapist | 1330 Nw 6th St Suite A, Gainesville, FL 32601 | 2012-09-06 |
| Find all providers in zip 32601 | ||||
| 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 |
|---|---|---|---|---|
| 1194111328 | Gainesville Ophthalmology LLC | Ophthalmology | 7109 Nw 11th Pl Ste C, Gainesville, FL 32605-3141 | 2015-04-14 |
| 1629334065 | Ankit Anil Shah | Ophthalmology | 1600 Sw Archer Rd Box 100284, Gainesville, FL 32610-3153 | 2012-04-10 |
| 1326362963 | Florida Eye Care and Surgery Inc | Ophthalmology | 3807 Sw 28th Ter, Gainesville, FL 32608-3150 | 2010-03-25 |
| 1952504656 | Brent R Hayek | Ophthalmology | 1485 Jesse Jewell Pkwy Ne Ste 100, Gainesville, GA 30501-3802 | 2007-06-08 |
| 1396957916 | Joseph Amdur | Ophthalmology | 2220 Nw 28th St, Gainesville, FL 32605-3740 | 2007-05-04 |
| 1962626945 | Vitreo Retinal Associates Pa | Ophthalmology | 4340 W Newberry Rd Ste 202, Gainesville, FL 32607-2557 | 2007-04-12 |
| 1366504474 | Larry Jeffrey Payne | Ophthalmology | 1485 Jesse Jewell Parkway Ne, Suite 100, Gainesville, GA 30501 | 2006-12-14 |
| 1770676017 | Muge R. Kesen | Ophthalmology | 6717 Nw 11th Pl Ste C, Gainesville, FL 32605-4233 | 2006-09-30 |
| 1083635726 | John W Forrest Jr. | Ophthalmology | 705 Jesse Jewell Pkwy Se, Ste 100, Gainesville, GA 30501-3868 | 2006-07-21 |
| 1114955796 | Sonal S Tuli | Ophthalmology | 6201 W Newberry Rd, Gainesville, FL 32605-4305 | 2006-06-30 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32601 |
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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.