GREGORY L HENDERSON MD FACS INC (NPI# 1821082249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821082249 |
| Entity Type | Organization |
| Organization Name | GREGORY L HENDERSON MD FACS INC |
| Other Organization Name | FLORIDA EYE SPECIALISTS AND CATARACT INSTITUTE |
| Practice Address |
1701 Rickenbacker Dr. Ste 102 Sun City Center FL 33573-5361 |
| Mailing Address |
403 Vonderburg Dr Brandon FL 33511-5982 |
| Practice Telephone | 8136347788 |
| Practice Fax Number | 8136342266 |
| Mailing Telephone | (813) 681-1122 |
| Mailing Fax Number | 8136844924 |
| Enumeration Date | 2005-08-31 |
| Last Update Date | 2017-09-19 |
| Authorized Official Name | MR. GREGORY L HENDERSON SR. (PRESIDENT) |
| Authorized Official Telephone | 8136811122 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | GREGORY L HENDERSON MD FACS INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 060983802 | 05 | |
| FL | 0609838-02 | 05 |
| Other Name | Type Code |
|---|---|
| Florida Eye Specialists and Cataract Institute | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144214552 | Gregory L Henderson Md Facs Inc | Ophthalmology | 135 W Robertson St, Brandon, FL 33511-5111 | 2005-08-31 |
| 1306839725 | Gregory L Henderson Md Facs Inc | Optometrist | 403 Vonderburg Dr, Brandon, FL 33511-5982 | 2005-08-31 |
| 1306830799 | Gregory L Henderson Md Facs Inc | Ophthalmology | 612 N Tamiami Trl, Ruskin, FL 33570-3769 | 2005-08-31 |
| Street Address |
1701 RICKENBACKER DR. STE 102 |
| City | SUN CITY CENTER |
| State | FL |
| Zip Code | 33573-5361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003427584 | Melissa Guigliano | Occupational Therapist | 3800 Fl-674, Sun City Center, FL 33573 | 2020-08-10 |
| 1013552751 | Lisa Brewer | Home Health | 301 Andover Pls 172, Sun City Center, FL 33573 | 2019-11-15 |
| 1023673951 | Apollo Pain Management | Anesthesiology | 720 Cortaro Drive, Sun City Center, FL 33573 | 2019-05-06 |
| 1043671126 | Marie Josee Francoeur | Nurse's Aide | 101 Trinity Lakes Drive, Sun City Center, FL 33573 | 2016-03-16 |
| 1588039804 | Priscilla Lou Raasch-mason | Physical Therapist | 827 Cypress Village Blvd., Suite A, Ruskin, FL 33573 | 2015-12-11 |
| 1740670405 | Richard Charles Vollrath | General Practice | 319 Siena Vista Pl, Sun City Center, FL 33573 | 2015-02-02 |
| 1265858468 | Josue Fils-aime | Custodial Care Facility | 8019 Cherry Branch Dr., Ruskin, FL 33573 | 2014-03-12 |
| 1013258748 | Tampa General Medical Group | Family Medicine | 16521 South U.S. Highway 301, Wimauma, FL 33573 | 2013-03-05 |
| 1386927135 | Sujith Idiculla | Pharmacist | 705 North Pebble Beach Blvd, Walgreens, Suncity, FL 33573 | 2011-09-27 |
| 1366756983 | Seniorbridge Family Companies (fl), Inc. | Home Health | 139 S. Pebble Beach Blvd., Suite 106, Sun City Center, FL 33573 | 2010-08-06 |
| Find all providers in zip 33573 | ||||
| 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 |
|---|---|---|---|---|
| 1467676585 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 4002 State Road 674 Suite C, Sun City Center, FL 33573-5208 | 2007-04-12 |
| 1477661759 | The Eye Associates of Manatee, LLP | Ophthalmology | 3894 Sun City Center Blvd., Sun City Center, FL 33573-6806 | 2006-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | SUN CITY CENTER |
| Zip Code | 33573 |
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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.