OPTIMART, INC. (NPI# 1861600488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861600488 |
Entity Type | Organization |
Organization Name | OPTIMART, INC. |
Other Organization Name | OPTIMART, INC. #01 |
Practice Address |
3830 Sun City Center Blvd Ste 105 Ruskin FL 33573-6820 |
Mailing Address |
4359 35th St N St Petersburg FL 33714-3717 |
Practice Telephone | 8136346155 |
Practice Fax Number | 8136346236 |
Mailing Telephone | 7279148615 |
Mailing Fax Number | 7279148610 |
Enumeration Date | 2007-05-18 |
Last Update Date | 2020-07-01 |
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 |
OE368 | FL | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
FL | 630126600 | 05 |
Other Name | Type Code |
---|---|
OPTIMART, INC. #01 | 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 |
1740497676 | Optimart, Inc. | Technician/Technologist | 13161 Cortez Blvd, Brooksville, FL 34613-7804 | 2007-05-17 |
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 |
3830 SUN CITY CENTER BLVD STE 105 |
City | RUSKIN |
State | FL |
Zip Code | 33573-6820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003021411 | Vision Specialty Associates, P.a. | Optometrist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2007-05-11 |
1205248044 | Francisca Delagarza | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2014-05-28 |
1932317211 | Brian David Paparodis | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2007-05-18 |
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 | 156FX1800X |
Grouping | Eye and Vision Services Providers |
Classification | Technician/Technologist |
Specialization | Optician |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013494459 | Sarah Dawn Kern | Technician/Technologist | 3830 State Road 674 Ste 105, Ruskin, FL 33573-6820 | 2018-07-27 |
1922139344 | Wal-mart Stores East, L.p. | Technician/Technologist | 4928 State Rd. 674, Ruskin, FL 33598 | 2007-03-08 |
1205248044 | Francisca Delagarza | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2014-05-28 |
1932317211 | Brian David Paparodis | Technician/Technologist | 3830 Sun City Center Blvd Ste 105, Ruskin, FL 33573-6820 | 2007-05-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538767405 | Michelle Mattera Starkey | Technician/Technologist | 1633 Taylor Rd # 104, Port Orange, FL 32128-6754 | 2020-10-13 |
1346848249 | Elizabeth Mary Howard | Technician/Technologist | 1633 Taylor Rd Unit 104, Port Orange, FL 32128-6754 | 2020-10-13 |
1992311492 | Conway Optical Company | Technician/Technologist | 3834 Curry Ford Rd, Orlando, FL 32806-2708 | 2020-09-20 |
1689283160 | Magnum Bien Aime | Technician/Technologist | 1860 N Pine Island Rd Ste 105, Plantation, FL 33322-5234 | 2020-07-30 |
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 |
1518593367 | Sand Vision LLC | Technician/Technologist | 706 Sw Pine Island Rd # 102, Cape Coral, FL 33991 | 2020-03-12 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on OPTIMART, 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.