VITREO RETINAL ASSOCIATES PA (NPI# 1962626945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962626945 |
| Entity Type | Organization |
| Organization Name | VITREO RETINAL ASSOCIATES PA |
| Practice Address |
4340 W Newberry Rd Ste 202 Gainesville FL 32607-2557 |
| Mailing Address |
4340 W Newberry Rd Suite 202 Gainesville FL 32607-2586 |
| Practice Telephone | 3523712800 |
| Practice Fax Number | 3523787009 |
| Mailing Telephone | 3523712800 |
| Mailing Fax Number | 3523787009 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-03 |
| Authorized Official Name | DR. KAUSHIK M HAZARIWALA (PHYSICIAN) |
| Authorized Official Telephone | 3523712800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
4340 W NEWBERRY RD STE 202 |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32607-2557 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265641534 | Michael Brandon Parrott | Ophthalmology | 4340 W Newberry Rd Ste 202, Gainesville, FL 32607-2557 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790335917 | Jennifer Jay | Behavioral Analyst | 4020 Sw 21st Rd, Gainesville, FL 32607 | 2019-09-19 |
| 1184186942 | The Birth Center At Cwh | Clinic/Center | 4454 Nw 6th Place, Gainesville, FL 32607 | 2019-04-02 |
| 1356823371 | Wendy Gibbs | Marriage & Family Therapist | 200 Nw 75th Drive, Suite B, Gainesville, FL 32607 | 2018-09-06 |
| 1104314368 | Meghan Bowser | Student in an Organized Health Care Education/Training Program | Academic Health Center Room 408, 1600 Sw Archer Road, Gainesville, FL 32607 | 2018-04-24 |
| 1942707328 | Anne Marie Littell | Student in an Organized Health Care Education/Training Program | 1707 N. Main Street, Gainesville, FL 32607 | 2018-04-11 |
| 1609378173 | Jeremy Markoski | Behavior Technician | 2035 Sw 75th St Suite B, Gainesville, FL 32607 | 2018-03-01 |
| 1013428085 | Adaric Kelly | Student in an Organized Health Care Education/Training Program | 502 Sw 34th St Apt 8, Gainesville, FL 32607 | 2017-10-18 |
| 1215454830 | Whitney Kristine Schaff | Dentist | 6110 Nw 1st Pl, Gainesville, FL 32607 | 2017-08-24 |
| 1316476674 | Jason Amadio | Specialist/Technologist | 1000 Sw 62nd Blvd, Gainesville, FL 32607 | 2017-06-08 |
| 1245784552 | Traci Pettigrew | Acupuncturist | 4001 Newberry Rd A3, Gainesville, FL 32607 | 2016-08-04 |
| Find all providers in zip 32607 | ||||
| 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 |
|---|---|---|---|---|
| 1194111328 | Gainesville Ophthalmology LLC | Ophthalmology | 7109 Nw 11th Pl Ste C, Gainesville, FL 32605-3141 | 2015-04-14 |
| 1629334065 | Ankit Anil Shah | Ophthalmology | 1600 Sw Archer Rd Box 100284, Gainesville, FL 32610-3153 | 2012-04-10 |
| 1326362963 | Florida Eye Care and Surgery Inc | Ophthalmology | 3807 Sw 28th Ter, Gainesville, FL 32608-3150 | 2010-03-25 |
| 1952504656 | Brent R Hayek | Ophthalmology | 1485 Jesse Jewell Pkwy Ne Ste 100, Gainesville, GA 30501-3802 | 2007-06-08 |
| 1396957916 | Joseph Amdur | Ophthalmology | 2220 Nw 28th St, Gainesville, FL 32605-3740 | 2007-05-04 |
| 1366504474 | Larry Jeffrey Payne | Ophthalmology | 1485 Jesse Jewell Parkway Ne, Suite 100, Gainesville, GA 30501 | 2006-12-14 |
| 1770676017 | Muge R. Kesen | Ophthalmology | 6717 Nw 11th Pl Ste C, Gainesville, FL 32605-4233 | 2006-09-30 |
| 1083635726 | John W Forrest Jr. | Ophthalmology | 705 Jesse Jewell Pkwy Se, Ste 100, Gainesville, GA 30501-3868 | 2006-07-21 |
| 1114955796 | Sonal S Tuli | Ophthalmology | 6201 W Newberry Rd, Gainesville, FL 32605-4305 | 2006-06-30 |
| 1124069505 | Nausheen Khuddus | Ophthalmology | 7120 Nw 11th Pl, Gainesville, FL 32605-3142 | 2006-06-09 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32607 |
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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.