PCP VISION SERVICES LLC (NPI# 1972969749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972969749 |
| Entity Type | Organization |
| Organization Name | PCP VISION SERVICES LLC |
| Practice Address |
6517 Taft St Hollywood FL 33024-4062 |
| Practice Telephone | 9549839191 |
| Practice Fax Number | 9549831152 |
| Mailing Telephone | 9549839191 |
| Mailing Fax Number | 9549831152 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Authorized Official Name | MOISES ISSA (PRESIDENT) |
| Authorized Official Telephone | 9549839191 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
6517 TAFT ST |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33024-4062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134120827 | Omar Jose Brito | Family Medicine | 6517 Taft St, Suite 2007, Hollywood, FL 33024-4048 | 2005-08-03 |
| 1447861463 | Victoria Maniotis | Nurse Practitioner | 6517 Taft St, Hollywood, FL 33024-4062 | 2020-08-13 |
| 1689101933 | Stephen Hugo Perez | Family Medicine | 6517 Taft St, Hollywood, FL 33024-4062 | 2017-05-17 |
| 1730614926 | Pedro Christian Castellanos | General Practice | 6517 Taft St, Hollywood, FL 33024-4062 | 2017-04-25 |
| 1598202517 | Carolina Raudez | Nurse Practitioner | 6517 Taft St, Hollywood, FL 33024-4062 | 2017-01-28 |
| 1972947117 | Primary Care Physicins of Hollywood Pa | Internal Medicine | 6517 Taft St, Suite 101, Hollywood, FL 33024-4008 | 2013-04-18 |
| 1861744823 | Diagnostic Medical Imaging of Hollywood LLC | Clinic/Center | 6517 Taft St, Num 103, Hollywood, FL 33024-4008 | 2012-10-15 |
| 1477804888 | Veritas Dental Hollywood Pa | Dentist | 6517 Taft St, Hollywood, FL 33024-4008 | 2012-09-25 |
| 1083945919 | Taft Rehab Center | Exclusive Provider Organization | 6517 Taft St, 200, Hollywood, FL 33024-4050 | 2010-01-15 |
| 1982887956 | Back To Comfort LLC | Chiropractor | 6517 Taft St, Hollywood, FL 33024-4050 | 2007-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603467 | Brooke Davignon | Behavioral Analyst | 1800 N Douglas Rd, Pembroke Pines, FL 33024 | 2020-06-09 |
| 1710527296 | Kids Miracle Steps, Inc. | Skilled Nursing Facility | 1371-1381 N Palm Ave., Pembroke Pines, FL 33024 | 2020-01-13 |
| 1992263636 | Cortney D Johnson | Social Worker | 1773 Nw 74th Way, Hollywood, FL 33024 | 2019-03-12 |
| 1760964613 | Family Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 7777 Davie Rd Ext, Ste 302 A-z, Hollywood, FL 33024 | 2018-09-06 |
| 1639650427 | Delone Elizabeth Plummer | Nurse Practitioner | 3157 N Univesity Dr, Pembroke Pines, FL 33024 | 2018-08-28 |
| 1467943126 | Bl Medical Center, Inc | Dermatology | 9050 Pines Blvd Ste 363, Pembroke Pines, FL 33024 | 2018-05-29 |
| 1952890360 | Rosmery Perez | Behavior Technician | 6610 Meade St, Hollywood, FL 33024 | 2018-05-02 |
| 1447747134 | Joseph P Robert | Technician, Health Information | 8471 Nw19th St, Pembroke Pines, FL 33024 | 2018-04-18 |
| 1164929329 | Yanelis Gutierrez Rodriguez | Behavior Technician | 321 Nw 78t Terrace Apt 104, Apt104 B32, Pembroke Pines, FL 33024 | 2018-04-12 |
| 1134621949 | Llc Tm's Care Enterprise | Clinic/Center | 9113-9117 Taft Street, Pembroke Pines, FL 33024 | 2018-03-07 |
| Find all providers in zip 33024 | ||||
| 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 |
|---|---|---|---|---|
| 1770125155 | Youssef Choucair | Optometrist | 1050 N Federal Hwy, Hollywood, FL 33020-3540 | 2019-10-17 |
| 1326505488 | Bluma Dukesz Od Pllc | Optometrist | 3240 N 37th St, Hollywood, FL 33021-2636 | 2019-02-25 |
| 1962906701 | Druey Vision Retail Group LLC | Optometrist | 333 S State Road 7 Unit A, Hollywood, FL 33023-6760 | 2018-03-19 |
| 1831629278 | Brittany Rozen Noskow | Optometrist | 11011 Sheridan St Ste 215, Hollywood, FL 33026-1531 | 2017-06-18 |
| 1265973929 | Broward Optimum Eye Care P.a. | Optometrist | 3900 Fern Forest Rd, Hollywood, FL 33026-1172 | 2017-03-14 |
| 1255879979 | Daniel Max & Marc Andrea LLC | Optometrist | 333 S State Road 7 Ste B, Hollywood, FL 33023-6756 | 2017-02-01 |
| 1144778804 | Eyes On The Job Pllc | Optometrist | 5640 Hollywood Blvd, Hollywood, FL 33021-6351 | 2016-09-12 |
| 1013369511 | Cristen Adams | Optometrist | 6288 Hollywood Blvd, Hollywood, CA 90028-5309 | 2016-07-07 |
| 1710395405 | Willian Rapoport | Optometrist | 837 Spinnaker Dr E, Hollywood, FL 33019-5026 | 2014-07-26 |
| 1124455639 | Samand Sebghati | Optometrist | 7400 Palomino Dr, Apt # 522, Hollywood, FL 33024-2349 | 2013-09-28 |
| Find all providers in HOLLYWOOD | ||||
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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.