EYE SITE VISION CENTER II, INC (NPI# 1720380389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720380389 |
Entity Type | Organization |
Organization Name | EYE SITE VISION CENTER II, INC |
Practice Address |
2490 N Federal Hwy Lighthouse Point FL 33064-6812 |
Practice Telephone | 9549433779 |
Practice Fax Number | 9549433879 |
Mailing Telephone | 9549433779 |
Mailing Fax Number | 9549433879 |
Enumeration Date | 2010-12-02 |
Last Update Date | 2012-02-17 |
Authorized Official Name | DR. GARY E GOBERVILLE (PRES/OPTOMETRIST) |
Authorized Official Telephone | 9549433779 |
Authorized Official Credential | OD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 152WP0200X |
Optometrist Specialization: Pediatrics |
OPC2575 | FL | Eye and Vision Services Providers |
N | 152WS0006X |
Optometrist Specialization: Sports Vision |
OPC2575 | FL | Eye and Vision Services Providers |
N | 152WV0400X |
Optometrist Specialization: Vision Therapy |
OPC2575 | FL | Eye and Vision Services Providers |
Y | 152W00000X | Optometrist | OPC2575 | FL | Eye and Vision Services Providers |
Street Address |
2490 N FEDERAL HWY |
City | LIGHTHOUSE POINT |
State | FL |
Zip Code | 33064-6812 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407309008 | Natalie Diaz | Optometrist | 2490 N Federal Hwy, Lighthouse Point, FL 33064-6812 | 2016-07-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790398865 | I Heart Senior and Disable Services LLC | Day Training, Developmentally Disabled Services | 4331 Ne 6th Ave, Pompano Beach, FL 33064 | 2020-08-28 |
1912554437 | Nada Boskovic Md Pa | Internal Medicine | 1 W Sample Road, Suite 305, Pompano Beach, FL 33064 | 2019-08-20 |
1922562933 | Bless Medical Center Corp | Family Medicine | 440 E Sample Road Suite 107, Pompano Beach, FL 33064 | 2019-01-23 |
1568932598 | Cloann Joseph | Occupational Therapy Assistant | 401 E Sample Road, Deerfield Beach, FL 33064 | 2018-12-03 |
1255808788 | Select Rehab | Skilled Nursing Facility | 401 Sample Road, Pompano Beach, FL 33064 | 2018-11-02 |
1699283515 | Nancy Emilia Santiago | Behavior Technician | 600 Nw 33 St, Pompano Beach, FL 33064 | 2018-01-12 |
1194248112 | Mark Walter Gruber I | Counselor | 100 E Sample Rd., #320, Pompano Beach, FL 33064 | 2017-07-21 |
1699221531 | Precision Construction & Design Services Inc | Contractor | 1711 B Nw 33 Street, Pompano Beach, FL 33064 | 2016-08-31 |
1841645587 | Julia Kyung Yoo, Inc | Point of Service | 4510 N. Federal Hwy, Lighthouse Point, FL 33064 | 2016-05-02 |
1487050969 | Michael Sassine | Podiatrist | 2100 Ne 36th St Ste 203, Lighthouse Point, FL 33064 | 2014-11-12 |
Find all providers in zip 33064 |
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 |
---|---|---|---|---|
1407309008 | Natalie Diaz | Optometrist | 2490 N Federal Hwy, Lighthouse Point, FL 33064-6812 | 2016-07-29 |
1003952078 | Steven Wigdor Od Pa | Optometrist | 3650 N Federal Hwy, Lighthouse Point, FL 33064-6649 | 2007-01-29 |
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1508466889 | Eye Doctors Optical Outlets, Pa | Optometrist | 2469 W Us Highway 90 Ste A27, Lake City, FL 32055-4738 | 2020-10-27 |
1376142828 | Edyta H Bogusz | Optometrist | 13073 Overstreet Rd, Windermere, FL 34786-6602 | 2020-10-25 |
1639778517 | Tran Hue Luong | Optometrist | 3520 36th St N, Saint Petersburg, FL 33713-1412 | 2020-10-21 |
1902405822 | Superior Eyes Optical, Inc | Optometrist | 6541 Superior Ave, Sarasota, FL 34231-5835 | 2020-10-21 |
1023615812 | Bay Vision Inc | Optometrist | 6951 22nd Ave North, St. Petersburg, FL 33710 | 2020-10-05 |
1386241297 | Simply See LLC | Optometrist | 1573 S Wickham Rd, Melbourne, FL 32904-3540 | 2020-10-04 |
1578170155 | Zoran Mihajlovic | Optometrist | 183 Se 10th Ct, Deerfield Beach, FL 33441-6654 | 2020-09-28 |
1245846237 | Eye Health of Fort Meyersllc | Optometrist | 2277 First St, Fort Myers, FL 33901-2959 | 2020-09-16 |
1740893692 | Drmaria Loulourgas Pa | Optometrist | 928 Curlew Rd, Dunedin, FL 34698-1901 | 2020-08-28 |
1770196131 | Hamlin Eye Care, LLC | Optometrist | 15820 Shaddock Drive, Suite 150, Winter Garden, FL 34787 | 2020-08-26 |
Find all providers with the same taxonomy |
City | LIGHTHOUSE POINT |
Zip Code | 33064 |
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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.