CUSTOM-EYES INC (NPI# 1801078258) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801078258 |
| Entity Type | Organization |
| Organization Name | CUSTOM-EYES INC |
| Practice Address |
1269 S Missouri Ave Clearwater FL 33756-4174 |
| Practice Telephone | 7274434011 |
| Mailing Telephone | 7274434011 |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2008-01-22 |
| Authorized Official Name | MR. STEPHEN JOHN FULGIERI (OPTICIAN) |
| Authorized Official Telephone | 7274434011 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 2536 | FL | Suppliers |
| Street Address |
1269 S MISSOURI AVE |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-4174 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801984018 | Stephen John Fulgieri | Technician/Technologist | 1269 S Missouri Ave, Clearwater, FL 33756-4174 | 2006-10-11 |
| 1073848776 | N.t. Anderson, O.d., P.a. | Optometrist | 1269 S Missouri Ave, Clearwater, FL 33756-4174 | 2009-10-14 |
| 1689909442 | Nicholas Anderson | Optometrist | 1269 S Missouri Ave, Clearwater, FL 33756-4174 | 2009-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| 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 |
|---|---|---|---|---|
| 1497384630 | Telemedical Partners Ltd., LLC | Eyewear Supplier (Equipment, not the service) | 1400 Alexander Way, Clearwater, FL 33756-1742 | 2020-04-08 |
| 1609043785 | Clearwater Vision | Eyewear Supplier (Equipment, not the service) | 1943 Drew St, Clearwater, FL 33765-3042 | 2008-05-08 |
| 1316093404 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 27001 Us Highway 19 N Ste 2004, Clearwater, FL 33761 | 2007-01-25 |
| 1588714703 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 2130 Gulf To Bay Blvd, Clearwater, FL 33765-3916 | 2007-01-11 |
| 1851460588 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 23902 Us Highway 19 N, Clearwater, FL 33765-1563 | 2006-11-07 |
| 1427148675 | Visionworks Inc | Eyewear Supplier (Equipment, not the service) | 912 South Missouri Avenue, Clearwater, FL 33756 | 2006-10-16 |
| 1639191729 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 27001 U.S. 19 North, Clearwater, FL 33761 | 2006-07-24 |
| 1255939336 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 26996 Us Highway 19 N, Clearwater, FL 33761-3466 | 2020-10-12 |
| 1053705913 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 2655 Gulf To Bay Blvd, Clearwater, FL 33759-4936 | 2015-03-27 |
| 1124272661 | January Moennig O.d. P.a. | Eyewear Supplier (Equipment, not the service) | 900 N Belcher Rd, Clearwater, FL 33765-2105 | 2008-11-11 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on CUSTOM-EYES 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.