CHILDREN'S EYEWEAR CENTER, INC (NPI# 1700379385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700379385 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S EYEWEAR CENTER, INC |
| Practice Address |
1717 S Orange Ave Orlando FL 32806 |
| Mailing Address |
540 Goldenmoss Loop Ocoee FL 34761-4783 |
| Practice Telephone | 4074226798 |
| Practice Fax Number | 4079927053 |
| Mailing Telephone | 4072345788 |
| Enumeration Date | 2018-06-08 |
| Last Update Date | 2018-08-10 |
| Authorized Official Name | MARK VINCENT MANDESE (OWNER) |
| Authorized Official Telephone | 4072345788 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FX1800X |
Technician/Technologist Specialization: Optician |
DO3019 | FL | Eye and Vision Services Providers |
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 100145900 | 05 |
| Street Address |
1717 S ORANGE AVE |
| City | ORLANDO |
| State | FL |
| Zip Code | 32806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124027867 | Wadih S. Macksoud | Orthopaedic Surgery | 1717 S Orange Ave, #103, Orlando, FL 32806-2944 | 2005-07-15 |
| 1255838462 | Mark Vincent Mandese | Technician/Technologist | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2018-04-12 |
| 1700325693 | Daniela Galvez Moreno | Behavioral Analyst | 1717 S Orange Ave, Orlando, FL 32806 | 2017-02-13 |
| 1194108928 | Krisann Draves | Nurse Practitioner | 1717 S Orange Ave, Suite 100, Orlando, FL 32806 | 2015-06-29 |
| 1437567989 | Jessica S Pierce | Psychologist | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2944 | 2014-07-29 |
| 1609287481 | Maggie Hodges | Physical Medicine & Rehabilitation | 1717 S Orange Ave, Suite 101, Orlando, FL 32806-2944 | 2014-05-14 |
| 1619394384 | Aimee Molineaux | Dietitian, Registered | 1717 S Orange Ave, Suite #100, Orlando, FL 32806-2944 | 2014-03-19 |
| 1508298407 | Sandra Karen Conrad | Dietitian, Registered | 1717 S Orange Ave, Suite 100, Orlando, FL 32806-2946 | 2013-08-01 |
| 1841635463 | Michelle P Tellado | General Practice | 1717 S Orange Ave, Orlando, FL 32806-2944 | 2013-05-09 |
| 1679819494 | Stephanie Lynn Barber | Nurse Practitioner | 1717 S Orange Ave, Ste 100, Orlando, FL 32806-2946 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710585674 | Erika Williams | Pharmacist | 2715 South Orlando Ave, Orlando, FL 32806 | 2020-10-13 |
| 1013545664 | Johanna Yadira Cook | Registered Nurse | Orlando Health Orlando Regional Medical Center, 52 W. Underwood St, Orlando, FL 32806 | 2020-03-30 |
| 1396372306 | Warren Andrew Williams | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Ave., 5th Fl, Mp# 43, Orlando, FL 32806 | 2020-03-27 |
| 1225665433 | Astrid Helen Casin | Student in an Organized Health Care Education/Training Program | 1222 S. Orange Avenue, 5th Fl., Mp#43, Orland, FL 32806 | 2020-03-26 |
| 1508404211 | Hidden Potential Florida LLC | Assistant Behavior Analyst | 2857 South Bumby Avenue, Orlando, FL 32806 | 2019-12-12 |
| 1720639883 | Cynthia Lee Kling | Clinical Nurse Specialist | Arnold Palmer Hospital, 92 W. Miller St., Orlando, FL 32806 | 2019-09-20 |
| 1033769930 | Darleen Ann Williams | Clinical Nurse Specialist | 52 W. Underwood, Orlando, FL 32806 | 2019-09-13 |
| 1508412644 | Trischaday Kimberley Demetrius | Nurse Practitioner | Orlando Epilepsy Center, 226 W Michigan Street, Orlando, FL 32806 | 2019-08-14 |
| 1962964809 | Ajc Software Inc | Prosthetic/Orthotic Supplier | 1405 South Orange Avenue Suite 308, Orlando, FL 32806 | 2019-04-01 |
| 1598232852 | Sodo Smiles Dentistry, Pa | Dentist | 3123 S. Orange Ave., Suite 107, Orlando, FL 32806 | 2018-10-25 |
| Find all providers in zip 32806 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574912 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 12190 Lake Underhill Rd, Orlando, FL 32825-5012 | 2020-09-29 |
| 1811550106 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 4200 Conroy Rd Ste B166, Orlando, FL 32839-2400 | 2019-04-22 |
| 1164846911 | Pablo Rosemberg LLC | Eyewear Supplier (Equipment, not the service) | 5447 International Dr, Orlando, FL 32819-8567 | 2014-02-14 |
| 1083964027 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 4673 Millenia Plaza Way, Orlando, FL 32839-2433 | 2012-09-18 |
| 1982981700 | Visionworks, Inc. | Eyewear Supplier (Equipment, not the service) | 8001 S Orange Blossom Trl Ste 1312, Orlando, FL 32809-7695 | 2011-11-08 |
| 1114196177 | Wal-mart Stores East, Lp | Eyewear Supplier (Equipment, not the service) | 5991 New Goldenrod Road, Orlando, FL 32822 | 2008-02-25 |
| 1992983225 | Eyeglass World #95 | Eyewear Supplier (Equipment, not the service) | 8236 Lee Vista Blvd, Suite A4 - A6, Orlando, FL 32829 | 2008-02-08 |
| 1619017274 | For Eyes Optical of Coconut Grove | Eyewear Supplier (Equipment, not the service) | 5201 Raymond St Rm 1209b, Orlando, FL 32803-8208 | 2007-02-06 |
| 1093860801 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 330 N. Alafaya Trail, Orlando, FL 32828 | 2007-01-24 |
| 1982759312 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 4697 Millenia Plaza Way, Orlando, FL 32839 | 2007-01-24 |
| Find all providers in ORLANDO | ||||
Please comment or provide details below to improve the information on CHILDREN'S EYEWEAR CENTER, INC.
| 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.