DR. DAVID MICHAEL FAGAN (NPI# 1912041302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912041302 |
| Entity Type | Individual |
| Full Name | DR. DAVID MICHAEL FAGAN |
| Credential | O.D. |
| Practice Address |
901 N Federal Hwy Fort Lauderdale FL 33304-2706 |
| Mailing Address |
3000 Ne 5th Ter Apt 302a Wilton Manors FL 33334-2059 |
| Practice Telephone | 9547791382 |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 4409 | MA | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | 3856 | FL | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245233790 | David Fagan | Pediatrics | 2016 Bronxdale Ave, Ste 203, Bronx, NY 10462-3365 | 2005-05-28 |
| 1912929068 | David G Fagan | Family Medicine | 11 Medical Park, Valley, AL 36854-3665 | 2006-07-24 |
| 1841220423 | David S Fagan | Internal Medicine | 101 Boulder Point Dr, Suite 1, Plymouth, NH 03264-3170 | 2006-07-03 |
| 1952354763 | David B Fagan | Orthopaedic Surgery | 12700 Southfork Rd, Ste 270, Saint Louis, MO 63128-3201 | 2006-05-19 |
| Street Address |
901 N FEDERAL HWY |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33304-2706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972128379 | Nurse Practitioner On Demand LLC | Clinic/Center | 1491 N Federal Hwy, Fort Lauderdale, FL 33304 | 2020-06-11 |
| 1053977207 | Hubert Christopher Dauphin | Counselor | 1527 Ne 4 Ave, Ft Lauderdale, FL 33304 | 2019-05-14 |
| 1073176970 | Giant Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 1975 E. Sunrise Blvd, Ste 503, Fort Lauderdale, FL 33304 | 2019-04-16 |
| 1790283000 | Genoa Healthcare, LLC | Pharmacy | 919 Ne 13th St Ste 244, Fort Lauderdale, FL 33304 | 2018-02-01 |
| 1063939890 | Suibel Boeras | Dentist | 3000 E Sunrise Blvd, Apt 5d, Fort Lauderdale, FL 33304 | 2017-08-23 |
| 1871023671 | Zahily Quinones Rivero | Technician, Other | 916 N Victoria Park Road, Fort Lauderdale, FL 33304 | 2017-06-14 |
| 1033652847 | A Healthier You Wellness Center, Inc. | Reflexologist | 1960 Ne 47th Street, Unit 102, Fort Lauderdale, FL 33304 | 2016-11-28 |
| 1871975995 | Sahyma Pampin | Physician Assistant | 2414 E. Sunrise Blvd., Ste. 2140a, Ft. Lauderdale, FL 33304 | 2015-06-25 |
| 1881090660 | Tara Zuckerman | Psychologist | 1501 Ne 4th Avenue, Fort Lauderdale, FL 33304 | 2014-11-06 |
| 1053721027 | Felice D. Fusca | Social Worker | 1208 Ne 17 Av, Fort Lauderdale, FL 33304 | 2014-04-30 |
| Find all providers in zip 33304 | ||||
| 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 |
|---|---|---|---|---|
| 1316506876 | Richard Valdes | Optometrist | 4910 Sw 31st Ter, Fort Lauderdale, FL 33312-6905 | 2019-06-10 |
| 1447789011 | Quoc Nam Le Huynh | Optometrist | 2900 W Cypress Creek Rd Ste 1, Fort Lauderdale, FL 33309-1715 | 2017-06-07 |
| 1194130203 | Rhea Butchey | Optometrist | 2131 N Federal Hwy, Fort Lauderdale, FL 33305 | 2014-06-26 |
| 1073944278 | Heather Groves | Optometrist | 2466 E Commercial Blvd Ste 102, Fort Lauderdale, FL 33308-4011 | 2013-12-12 |
| 1194152470 | James M Normile Od Pa | Optometrist | 3401 W Sunrise Blvd, Fort Lauderdale, FL 33311 | 2013-10-02 |
| 1396937470 | Brandon William Cornish | Optometrist | 640 N Federal Hwy, Fort Lauderdale, FL 33304-4686 | 2007-08-13 |
| 1245420462 | Allen Taylor | Optometrist | 2900 West Cypress Creek Road, Suite 1, South Florida Vision, Fort Lauderdale, FL 33309 | 2007-07-25 |
| 1083713622 | Leslie A Draper | Optometrist | 2583 E Sunrise Blvd, Fort Lauderdale, FL 33304-3203 | 2006-09-21 |
| 1417067851 | Craig Allen Fidler | Optometrist | 2120 S Federal Hwy, Fort Lauderdale, FL 33316-3545 | 2006-08-30 |
| 1174558878 | Gary D. Enker | Optometrist | 6215 N Federal Hwy, Fort Lauderdale, FL 33308-1903 | 2006-07-11 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33304 |
Please comment or provide details below to improve the information on DR. DAVID MICHAEL FAGAN.
| 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.