OPTIMART, INC. (NPI# 1740497676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740497676 |
| Entity Type | Organization |
| Organization Name | OPTIMART, INC. |
| Other Organization Name | OPTIMART, INC. #09 |
| Practice Address |
13161 Cortez Blvd Brooksville FL 34613-7804 |
| Mailing Address |
4359 35th St N St Petersburg FL 33714-3717 |
| Practice Telephone | 3525970410 |
| Practice Fax Number | 3525150750 |
| Mailing Telephone | 7279148616 |
| Mailing Fax Number | 7279148610 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | GREGORY LOUIS MATHIS (ADMINISTRATOR) |
| Authorized Official Telephone | 7279148615 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
OE370 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 630126600 | 05 |
| Other Name | Type Code |
|---|---|
| OPTIMART, INC. #09 | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316154164 | Optimart, Inc. | Technician/Technologist | 5115 34th St S, St Petersburg, FL 33711-4515 | 2007-05-17 |
| 1487861449 | Optimart, Inc. | Technician/Technologist | 2325 Bee Ridge Rd, Sarasota, FL 34239-6204 | 2007-05-17 |
| 1801003678 | Optimart, Inc. | Technician/Technologist | 1867 Tamiami Trl S, Venice, FL 34293-3142 | 2007-05-17 |
| 1609083484 | Optimart, Inc. | Technician/Technologist | 7440 Gall Boulevard, Zephyrhills, FL 33541-4308 | 2007-05-17 |
| 1124235049 | Optimart, Inc. | Technician/Technologist | 10041a Us Highway 19, Port Richey, FL 34668-3742 | 2007-05-17 |
| 1780110924 | Optimart, Inc. | Technician/Technologist | 4359 35th St N, St Petersburg, FL 33714-3717 | 2017-05-09 |
| 1861600488 | Optimart, Inc. | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2007-05-18 |
| 1174730352 | Optimart, Inc. | Technician/Technologist | 35170 Us Highway 19 N, Palm Harbor, FL 34684-1929 | 2007-05-17 |
| 1922215136 | Optimart, Inc. | Technician/Technologist | 7165 Seminole Blvd, Seminole, FL 33772-5934 | 2007-05-17 |
| 1811104672 | Optimart, Inc. | Technician/Technologist | 1661 Se Us Highway 19, Crystal River, FL 34429-4830 | 2007-05-17 |
| Street Address |
13161 CORTEZ BLVD |
| City | BROOKSVILLE |
| State | FL |
| Zip Code | 34613-7804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487860169 | Vision Specialty Associates, P.a. | Optometrist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2007-05-16 |
| 1902405988 | Casey Mogus | Technician/Technologist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2020-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679196836 | Izza Bazigh | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, Sr 50, Office of Graduate Medic, Brooksville, FL 34613 | 2020-05-22 |
| 1003446824 | Spring Hill Pediatric Dentistry, LLC | Dentist | 7140 Sagheer St., Brooksville, FL 34613 | 2020-01-21 |
| 1407405822 | Medical Risk Solutions | Family Medicine | 12080 Cortez Blvd, Brooksville, FL 34613 | 2019-09-09 |
| 1528529245 | Edward Joseph Waseleski Jr. | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-26 |
| 1366903213 | Paresh Rangani | Student in an Organized Health Care Education/Training Program | 11375 Cortez Blvd., State Road 50, Brooksville, FL 34613 | 2019-03-25 |
| 1225558034 | Whitney King | Student in an Organized Health Care Education/Training Program | 11375 Cortez Boulevard, State Road 50, Brooksville, FL 34613 | 2017-06-22 |
| 1922450022 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 13217 Cortez Rd, Brooksville, FL 34613 | 2016-07-13 |
| 1992157408 | Arushi Goel | Internal Medicine | 11375 Cortez Boulevard, Oak Hill Hospital, Brooksville, FL 34613 | 2016-07-08 |
| 1366823122 | Monicka Stella Felix | Internal Medicine | 11375 Cortez Boulevard, Sr 50, Oak Hill Hospital, Gme Attn: Melissa Tammaro, Brooksville, FL 34613 | 2015-06-17 |
| 1790171700 | April Greer | Hearing Instrument Specialist | 13013 Cortez Blvd., Brooksville, FL 34613 | 2015-04-07 |
| Find all providers in zip 34613 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760690135 | Gary Leonard Jacobs | Technician/Technologist | 13132 Cortez Blvd, Brooksville, FL 34613-4858 | 2007-05-18 |
| 1447262431 | Terry Allen Key | Technician/Technologist | 1202 S Broad St, Brooksville, FL 34601-3132 | 2006-08-11 |
| 1902405988 | Casey Mogus | Technician/Technologist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2020-10-21 |
| 1801419676 | Michelle M Toledo | Technician/Technologist | 7631 Horse Lake Rd, Brooksville, FL 34601-9021 | 2020-05-27 |
| 1376020008 | Laurie Ann Marcionette | Technician/Technologist | 13128 Cortez Blvd, Brooksville, FL 34613-4858 | 2018-07-25 |
| 1376955112 | Marianela Lee | Technician/Technologist | 13132 Cortez Blvd, Brooksville, FL 34613-4858 | 2014-05-28 |
| 1679985410 | Carolyn Marie Burger | Technician/Technologist | 13132 Cortez Blvd, Brooksville, FL 34613-4858 | 2014-05-28 |
| 1760567697 | Wal-mart Stores East, Lp | Technician/Technologist | 13300 Cortez Blvd, Brooksville, FL 34613-4887 | 2006-10-26 |
| 1588755615 | Wal-mart Stores East, Lp | Technician/Technologist | 7305 Broad St, Brooksville, FL 34601-3158 | 2006-09-27 |
| 1124128921 | Sam's Club Optical | Technician/Technologist | 13360 Cortez Blvd, Brooksville, FL 34613-4887 | 2006-09-22 |
| Find all providers in BROOKSVILLE | ||||
| City | BROOKSVILLE |
| Zip Code | 34613 |
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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.