MARI SHELLY HOLDERBY (NPI# 1881001626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881001626 |
| Entity Type | Individual |
| Full Name | MARI SHELLY HOLDERBY |
| Credential | O.D. |
| Practice Address |
7912 Forest City Rd Orlando FL 32810-2907 |
| Mailing Address |
110 S Woodland St Winter Garden FL 34787-3546 |
| Practice Telephone | 4079058827 |
| Practice Fax Number | 3212212047 |
| Mailing Telephone | 4079058827 |
| Mailing Fax Number | 3212212047 |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2016-04-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC4915 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 012769900 | 05 |
| Street Address |
7912 FOREST CITY RD |
| City | ORLANDO |
| State | FL |
| Zip Code | 32810-2907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003867698 | Manuel R Mota-castillo | Psychiatry & Neurology | 7912 Forest City Rd, Orlando, FL 32810-2907 | 2006-05-16 |
| 1003351578 | Doretha Rouse | Registered Nurse | 7912 Forest City Rd, Orlando, FL 32810-2907 | 2016-12-19 |
| 1528457520 | Ashley Brooke Midkiff | Social Worker | 7912 Forest City Rd, Orlando, FL 32810-2907 | 2015-01-13 |
| 1083011639 | Community Health Centers, Inc | Clinic/Center | 7912 Forest City Rd, Orlando, FL 32810-2907 | 2014-11-25 |
| 1346647997 | Community Health Centers, Inc | Clinic/Center | 7912 Forest City Rd, Orlando, FL 32810-2907 | 2014-11-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932708344 | Courtney Anne Bass | Psychologist | 5736 Eggleston Avenue, Orlando, FL 32810 | 2020-10-19 |
| 1598273666 | Taylor Elizabeth Marshall | Behavior Technician | 3701 Maitland Summit Blvd, Orlando, FL 32810 | 2018-01-11 |
| 1962920595 | Sister With Destiny | Adult Companion | 5214 N. O. B. T Apt 103, Orlando, FL 32810 | 2017-09-04 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1407380603 | Naho Hattori | Student in an Organized Health Care Education/Training Program | 1800 Pembrook Dr Ste 200, Orlando, FL 32810 | 2017-04-13 |
| 1245774801 | Elite Physical Therapy & Health Care Services | Community/Behavioral Health | 5104 North Orange Blossom Trail, Suite 119, Orlando, FL 32810 | 2016-12-15 |
| 1841746518 | Marie Yveline Mauger | Licensed Practical Nurse | 4400 Park Eden Cir, Orlando, FL 32810 | 2016-08-31 |
| 1548619950 | Predestined 4 Purpose Inc | Home Health | 6826 Gadwall Lane, Orlando, FL 32810 | 2016-06-07 |
| 1881058998 | Xuong Vong | Massage Therapist | 9301 Summit Centre Way, Maitland, FL 32810 | 2016-04-06 |
| 1760862726 | Edwin Colon | Case Management | 2660 Environs Blvd, Orlando, FL 32810 | 2015-06-04 |
| Find all providers in zip 32810 | ||||
| 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 |
|---|---|---|---|---|
| 1548893746 | Mi Optometra Inc | Optometrist | 5142 Hook Hollow Cir, Orlando, FL 32837-4913 | 2020-02-15 |
| 1558905588 | Ryan Nicholas Od LLC | Optometrist | 4200 Conroy Rd # B166, Orlando, FL 32839-2400 | 2019-11-02 |
| 1992355036 | National Vision Inc | Optometrist | 6776 Eagle Watch Dr, Orlando, FL 32822-2355 | 2019-09-19 |
| 1891277760 | Salazar Eyecare LLC | Optometrist | 2883 Delaney Ave, Orlando, FL 32806-5412 | 2018-09-06 |
| 1861972366 | Investment Strategy Group, Inc | Optometrist | 3016 E Colonial Dr, Orlando, FL 32803-5006 | 2018-08-15 |
| 1457853632 | William Roberts Optometry, Pllc | Optometrist | 4192 Conroy Rd Ste 111, Orlando, FL 32839-6417 | 2018-03-05 |
| 1710408992 | Denise Lynn Mezquia | Optometrist | 1800 Pembrook Dr Ste 120, Orlando, FL 32810 | 2017-06-28 |
| 1760918510 | Muhammad Saad Sami | Optometrist | 14731 Crosston Bay Ct, Orlando, FL 32824-4291 | 2017-05-11 |
| 1568908192 | Tam Duong | Optometrist | 6108 Sparling Hills Cir, Orlando, FL 32808-1438 | 2017-01-06 |
| 1326595208 | Jeanine Hayen Od LLC | Optometrist | 720 Rugby St, Suite 100, Orlando, FL 32804-4900 | 2016-09-08 |
| Find all providers in ORLANDO | ||||
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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.