STREETER VISION INC (NPI# 1790881837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790881837 |
| Entity Type | Organization |
| Organization Name | STREETER VISION INC |
| Practice Address |
1005a John Sims Pkwy E Niceville FL 32578-2712 |
| Practice Telephone | 8502794361 |
| Practice Fax Number | 8502794363 |
| Mailing Telephone | 8502794361 |
| Mailing Fax Number | 8502794363 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2010-09-17 |
| Authorized Official Name | DR. THOMAS ALLEN STREETER (PRESIDENT) |
| Authorized Official Telephone | 8507585981 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC 4068 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 000195000 | 05 |
| Street Address |
1005A JOHN SIMS PKWY E |
| City | NICEVILLE |
| State | FL |
| Zip Code | 32578-2712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376028563 | Southern Breeze Healthcare | Family Medicine | 4556 E Hwy 20, Suite 105, Niceville, FL 32578 | 2018-10-03 |
| 1497252860 | Molly Marie Everitt | Physician Assistant | 2190 Fl-85 N, Niceville, FL 32578 | 2018-04-11 |
| 1972009314 | Alexis Aust | Student in an Organized Health Care Education/Training Program | 104 Arrowhead Way, Niceville, FL 32578 | 2018-04-04 |
| 1518488949 | Michelle Sasala | Nurse Practitioner | 4550 E Highway 20, Niceville, FL 32578 | 2017-07-06 |
| 1003336199 | Comfortable Care Denta Health Professionals, Pa | Dentist | 1386 E John Sims Parkway, Niceville, FL 32578 | 2017-06-21 |
| 1306223888 | Emerald Coast Periodontics | Dentist | 719 Bayshore Drive, Niceville, FL 32578 | 2015-05-04 |
| 1538586136 | Pamela Ottesen Dmd LLC | Dentist | 1536 John Sims Pkwy, Niceville, FL 32578 | 2014-03-21 |
| 1417204066 | Mary Jo Stiles | Hearing Instrument Specialist | 4400 Hwy, 20 East, Suite # 211, Niceville, FL 32578 | 2012-08-13 |
| 1093086563 | Pat T. Tidwell Md Pa | Clinic/Center | 4554 Highway 20 East, Niceville, FL 32578 | 2012-01-16 |
| 1952683260 | Gentle Birth Options, LLC | Nurse Practitioner | 296 Bayshore Drive, Niceville, FL 32578 | 2011-09-13 |
| Find all providers in zip 32578 | ||||
| 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 |
|---|---|---|---|---|
| 1033433156 | Patricia Lynn Brobeck | Optometrist | 1300 John Sims Pkwy E, Niceville, FL 32578-2208 | 2010-03-18 |
| 1164556932 | Mullis Eye Institute Inc | Optometrist | 1003 College Blvd W Ste 4, Twin Cities Medical Bldg, Niceville, FL 32578-1060 | 2007-03-15 |
| 1619905718 | James Hemmig | Optometrist | 4400 Highway 20 East, Suite 112, Niceville, FL 32578-9735 | 2006-06-28 |
| 1447246590 | Thomas Allen Streeter | Optometrist | 1103 John Sims Pkwy E, Niceville, FL 32578-2752 | 2005-09-23 |
| 1881998862 | Eagle Eyes Vision Center LLC | Optometrist | 1300 John Sims Pkwy E, Vision Center, Niceville, FL 32578-2208 | 2011-01-05 |
| 1447580071 | Sure Vision Eye Care LLC | Optometrist | 1187 John Sims Pkwy E, Niceville, FL 32578-2752 | 2010-01-04 |
| 1124351549 | Amanda L Brenci | Optometrist | 1187 John Sims Pkwy E, Niceville, FL 32578-2752 | 2009-09-16 |
| 1194836312 | Sharon Marie Streeter | Optometrist | 1103 John Sims Pkwy E, Niceville, FL 32578-2752 | 2006-08-31 |
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|---|---|---|---|---|
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| 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 | ||||
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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.