VITREOUS & RETINA CONSULTANTS, PA (NPI# 1730159575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730159575 |
| Entity Type | Organization |
| Organization Name | VITREOUS & RETINA CONSULTANTS, PA |
| Practice Address |
250 Avenue K Sw Suite 200 Winter Haven FL 33880-3919 |
| Practice Telephone | 8632975400 |
| Practice Fax Number | 8632938230 |
| Mailing Telephone | 8632975400 |
| Mailing Fax Number | 8632938230 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2012-01-06 |
| Authorized Official Name | DAVID M MISCH (PRESIDENT) |
| Authorized Official Telephone | 8632975400 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 372196500 | 05 |
| Street Address |
250 AVENUE K SW SUITE 200 |
| City | WINTER HAVEN |
| State | FL |
| Zip Code | 33880-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902256530 | Douglas Goldberg | Hearing Instrument Specialist | 250 Avenue K Sw, Suite 105, Winter Haven, FL 33880-3914 | 2016-06-14 |
| 1164621330 | John Carlton Randolph | Ophthalmology | 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3914 | 2007-07-17 |
| 1568412823 | Richard Scott Hamilton | Ophthalmology | 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3919 | 2006-05-10 |
| 1043282387 | Sonya Braudway | Optometrist | 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3914 | 2006-02-02 |
| 1972574408 | Adam Scott Berger | Ophthalmology | 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3919 | 2006-02-01 |
| 1477524130 | Suk Moon | Ophthalmology | 250 Avenue K Sw, Ste 200, Winter Haven, FL 33880-3919 | 2006-01-31 |
| 1992775571 | David Michael Misch | Ophthalmology | 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880-3914 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851896955 | Cheryl Gonzalez | Physical Therapy Assistant | 1601 6th Street Swe, Winter Haven, FL 33880 | 2018-03-29 |
| 1265950661 | Integrity Prosthetics and Orthotics | Prosthetic/Orthotic Supplier | 135 1st Street South, Winter Haven, FL 33880 | 2017-09-06 |
| 1912423427 | Stacy Lewis | Counselor | 1943 Ave E Sw, Winter Haven, FL 33880 | 2017-08-16 |
| 1497275952 | Kleine Pediatrics | Pediatrics | 375 E Central Avenue, Suite 391, Winter Haven, FL 33880 | 2017-06-26 |
| 1255851457 | Farah N Habib | Dentist | 375 E Central Ave, Suite 361, Winter Haven, FL 33880 | 2017-06-20 |
| 1356878086 | Congruent Hearts Companions | Home Health | 111 Ave R N.e., Winter, FL 33880 | 2017-05-12 |
| 1689033201 | Jason Acosta | General Practice | 111 Avenue A Se, Winter Haven, FL 33880 | 2016-02-11 |
| 1629440573 | National Vision, Inc. | Technician/Technologist | 341 & 343 Cypress Gardens Blvd, Winter Haven, FL 33880 | 2015-10-30 |
| 1518336825 | Nicole A. Domenech | General Practice | 950 First St. South, Winter Haven, FL 33880 | 2015-09-16 |
| 1447666417 | Lee Tramell Vickers | Pharmacist | 701 1st Street, Winter Haven, FL 33880 | 2014-07-10 |
| Find all providers in zip 33880 | ||||
| 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 |
|---|---|---|---|---|
| 1467891812 | Logan Lawrence Christensen | Ophthalmology | 250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919 | 2013-06-19 |
| 1295999183 | Adam Breunig | Ophthalmology | 215 1st St N Ste 200, Winter Haven, FL 33881-4507 | 2008-07-10 |
| 1033123690 | Ben M Crowder | Ophthalmology | 400 E Central Ave, Winter Haven, FL 33880-3050 | 2006-07-28 |
| 1508863416 | Howard C Lucas | Ophthalmology | 560 Avenue K Se, Winter Haven, Winter Haven, FL 33880-4203 | 2005-07-07 |
| 1265434427 | Daniel Wayne Welch | Ophthalmology | 407 Avenue K Se, Winter Haven, FL 33880-4126 | 2005-06-01 |
| 1003818261 | Scott Evan Klein | Ophthalmology | 122 E Central Ave, Winter Haven, FL 33880-6308 | 2005-06-01 |
| 1437152667 | Frank J Fischer Jr. | Ophthalmology | 215 1st St N, Ste 200, Winter Haven, FL 33881-4537 | 2005-05-23 |
| 1801216072 | Hershel R Patel | Ophthalmology | 250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919 | 2014-04-25 |
| 1750604906 | Ben M Crowder Mdpa | Ophthalmology | 400 E Central Ave, Winter Haven, FL 33880-3050 | 2010-03-02 |
| 1326373341 | Howard Lucas Md Pa | Ophthalmology | 560 Avenue K Se, Winter Haven, FL 33880-4203 | 2009-10-08 |
| Find all providers in WINTER HAVEN | ||||
| City | WINTER HAVEN |
| Zip Code | 33880 |
Please comment or provide details below to improve the information on VITREOUS & RETINA CONSULTANTS, PA.
| 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.