JOHN BRAXTON LEWIS (NPI# 1982709341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982709341 |
| Entity Type | Individual |
| Full Name | JOHN BRAXTON LEWIS |
| Credential | OD |
| Practice Address |
1236 Jacaranda Blvd Venice FL 34292 |
| Mailing Address |
1360 E Venice Ave Venice FL 34285-9066 |
| Practice Telephone | 9414964444 |
| Practice Fax Number | 9414964223 |
| Mailing Telephone | 9414802135 |
| Mailing Fax Number | 9414842200 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | OPC1163 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 078516400 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1360 E Venice Ave, Venice, FL 342859066 | 9414802135 | 9414842200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366060444 | John Christopher Lewis | Counselor | 6302 N Garrison Ave, Tulsa, OK 74126-1512 | 2020-07-06 |
| 1306473574 | John Terrence Lewis II | Occupational Therapist | 2305 Red Maple Ct Se, Conyers, GA 30013-6719 | 2020-03-26 |
| 1619436771 | John Corbridge Lewis | Nurse Practitioner | 1789 Commerce Dr, Lakeside, AZ 85929-5354 | 2019-03-18 |
| 1619443033 | John O Lewis IIi | Non-emergency Medical Transport (VAN) | 6342 28th St Apt 16, Berwyn, IL 60402-2723 | 2018-10-23 |
| 1467854604 | John Nelson Lewis | Internal Medicine | 225 Settlers Point Rd, Fountain Run, KY 42133-8551 | 2014-09-18 |
| 1407263825 | John H Lewis | Pharmacist | 573 Forest Hill Dr, Lexington, KY 40509-1914 | 2014-07-17 |
| 1629489471 | John Lewis | Nutritionist | 744 E Swon Ave, Saint Louis, MO 63119-4228 | 2014-05-14 |
| 1386800118 | John Francis Lewis | Dentist | 8503 Pacific Ave, Wildwood Crest, NJ 08260-3529 | 2008-07-31 |
| 1396916656 | John Derek Lewis | Radiology | 2346 Linden Leaf Dr, Glenview, IL 60025-2766 | 2008-03-14 |
| 1184759821 | John C Lewis | Pharmacist | 211 1st St S, Alpha, IL 61413-0355 | 2007-02-22 |
| Street Address |
1236 JACARANDA BLVD |
| City | VENICE |
| State | FL |
| Zip Code | 34292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457860371 | Glasses Rx, LLC | Eyewear Supplier (Equipment, not the service) | 1236 Jacaranda Blvd, Venice, FL 34292-4507 | 2017-09-22 |
| 1215111547 | Manatee Family Eyecare, Pa | Optometrist | 1236 Jacaranda Blvd, Venice, FL 34292-4507 | 2007-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558754986 | Sinafikish Sahlu | Pharmacist | 11642 Dancing River Dr, Venice, FL 34292 | 2015-03-10 |
| 1922404680 | Venice Home Care Services, LLC | Home Health | 1790 E Venice Ave Ste 201, Venice, FL 34292 | 2014-11-07 |
| 1285078659 | Nic 4 Sunset Lake Leasing | Assisted Living Facility | 1121 Jacaranda Blvd., Venice, FL 34292 | 2013-04-29 |
| 1407161979 | Ashley Layne Barnette | Social Worker | 421 Commercial Court, Suite A, Venice, FL 34292 | 2010-08-09 |
| 1790005387 | Nicole Lindsey Morganti | Dentist | 2393 E Venice Ave, Venice, FL 34292 | 2010-06-04 |
| 1013234608 | Suncoast Therapy, LLC | Physical Therapist | 417 Commercial Ct Ste C, Venice, FL 34292 | 2010-04-23 |
| 1396972246 | David J Widmyer | Internal Medicine | 1500 E Venice Ave Unit 103, Venice, FL 34292 | 2009-06-18 |
| 1063653228 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 345 Jacaranda Blvd, Venice, FL 34292 | 2009-03-18 |
| 1255578001 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 215 Jacaranda Blvd, Venice, FL 34292 | 2009-01-15 |
| 1417027665 | Ki M Hassler | Internal Medicine | 1215 Jacaranda Blvd, Venice, FL 34292 | 2006-11-08 |
| Find all providers in zip 34292 | ||||
| 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 |
|---|---|---|---|---|
| 1740471705 | Eye Doctors Optical Outlets Pa | Optometrist | 4171 Tamiami Trl S, Suite 34, Venice, FL 34293-5111 | 2007-08-06 |
| 1659492502 | Eye Health & Vision Center Pa | Optometrist | 107 Shamrock Blvd, Venice, FL 34293-1630 | 2007-04-02 |
| 1225104136 | Michael Broder | Optometrist | 2165 Tamiami Trl S, Venice, FL 34293-5034 | 2006-11-24 |
| 1932131331 | Elliott Stupp | Optometrist | 4171 S Tamiami Tr, #34, Venice, FL 34293-2932 | 2006-07-07 |
| 1174578454 | Amy Suzanne Ragozzino | Optometrist | 4150 Tamiami Trl S, Venice, FL 34293-5130 | 2006-05-24 |
| 1457301921 | Melissa L Black | Optometrist | 1435 E Venice Ave, Suite 110, Venice, FL 34292-3074 | 2006-05-12 |
| 1366409112 | William J Cottone | Optometrist | 4171 Tamiami Trl S # 34, Venice, FL 34293-5111 | 2006-04-26 |
| 1982682423 | David Mark Rubin | Optometrist | 250 S. Tamiami Trl., Suite 103, Venice, FL 34285-2410 | 2006-01-05 |
| 1326037391 | James Richard Lenhart | Optometrist | 1360 E Venice Ave, Venice, FL 34285-9066 | 2005-10-20 |
| 1437154788 | Robert V Daddario | Optometrist | 1219 Jacaranda Blvd, Venice, FL 34292-4520 | 2005-06-14 |
| Find all providers in VENICE | ||||
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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.