JOHN MURPHY ROA


Address: 104 E Indiana Ave, Deland, FL 32724-4330
Phone: 3867368080

JOHN MURPHY ROA (NPI# 1811152689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1811152689
Entity Type Individual
Full Name JOHN MURPHY ROA
Credential LIC OPTICIAN
Practice Address 104 E Indiana Ave
Deland
FL 32724-4330
Practice Telephone 3867368080
Practice Fax Number 3867368080
Mailing Telephone 3867368080
Mailing Fax Number 3867368080
Enumeration Date 2008-07-22
Last Update Date 2008-07-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1800X Technician/Technologist
Specialization: Optician
Eye and Vision Services Providers

Office Location

Street Address 104 E INDIANA AVE
City DELAND
State FL
Zip Code 32724-4330

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1255877221 Emily Eunice Specialist/Technologist 2589 W Lake Dr., Deland, FL 32724 2017-01-13
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Taxonomy Information

Taxonomy Code 156FX1800X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optician

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1386735769 Wal-mart Stores East, Lp Technician/Technologist 1699 N Woodland Blvd, Deland, FL 32720-1803 2006-09-28

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NPI Name Taxonomy Address Enumeration
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1073121430 Elvira R Diez Technician/Technologist 950 Bluewood Ter, Weston, FL 33327-2049 2020-07-21
1598373219 Jocelyn Dorfils Technician/Technologist 4135 Dr Martin Luther King Blvd, Fort Myers, FL 33916-4809 2020-07-20
1376161000 Carla Stocker Technician/Technologist 7410 Daetwyler Dr, Orlando, FL 32812-3726 2020-07-09
1306464292 Christian Gonzalez Technician/Technologist 4135 Dr Martin Luther King Blvd # G16, Fort Myers, FL 33916-4809 2020-07-08
1245867902 Cindy Perry Toepfer Technician/Technologist 264 Tamiami Trl S, Venice, FL 34285-2419 2020-03-24
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City DELAND
Zip Code 32724

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Dataset Information

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.

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