DR. THERESE B DAHL (NPI# 1992878771) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992878771 |
| Entity Type | Individual |
| Full Name | DR. THERESE B DAHL |
| Credential | OD |
| Practice Address |
3659 South Hopkins Ave Suite D Titusville FL 32780 |
| Practice Telephone | 3212644264 |
| Practice Fax Number | 3212649433 |
| Mailing Telephone | 3212644264 |
| Mailing Fax Number | 3212649433 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 1532 | WI | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | OPL1525 | FL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DMNS CLEARING HOUSE | 1213330001 | 01 | |
| RAILROAD MEDICARE | 180004904 | 01 | |
| EYEMED | 114116 | 01 | |
| AVESIS | 27596 | 01 | |
| FL | 078593800 | 05 |
| Street Address |
3659 SOUTH HOPKINS AVE SUITE D |
| City | TITUSVILLE |
| State | FL |
| Zip Code | 32780 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400207 | Elizabeth Hardin | Chiropractor | Florida Sports and Spinal Rehab, 3910 S. Washington Ave., Titusville, FL 32780 | 2020-06-01 |
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1427566819 | Marlene Joyce Rosenzweig | Home Health | 1415 Thornton Avenue, Titusville, FL 32780 | 2018-01-19 |
| 1962913681 | Medfast Urgent Care Center, LLC | Clinic/Center | 1840 South Washington Ave, Titusville, FL 32780 | 2017-10-20 |
| 1982122586 | Annie Durand | Physical Therapist | 4352 Derbyshire Drive, Titusville, FL 32780 | 2017-09-03 |
| 1205352341 | Hearing Healthcare Solutions, Inc. | Hearing Instrument Specialist | 2625 Barna Ave, Suite J, Titusville, FL 32780 | 2017-08-21 |
| 1134663669 | Laura Starks | Behavior Technician | 1000 Tree Lane Apt H, Titusville, FL 32780 | 2016-12-19 |
| 1235500471 | Comfortable Care Dental Health Professionals, Pa | Dentist | 3135 Columbia Blvd, Suite 100, Titusville, FL 32780 | 2015-10-14 |
| 1174994412 | Amanda Howell | Counselor | 5280 Watermill Lane Apt 305, Titusville, FL 32780 | 2015-10-13 |
| 1609267939 | Bykota Acupuncture | Acupuncturist | 1007 South Washington Ave, Titusville, FL 32780 | 2015-02-09 |
| Find all providers in zip 32780 | ||||
| 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 |
|---|---|---|---|---|
| 1477033934 | Eye Doctors Optical Outlets, Pa | Optometrist | 2510 S Washington, Suite 140, Titusville, FL 32780 | 2018-08-15 |
| 1487093803 | Jennifer Lynn Bradley | Optometrist | 338 S Washington Ave., Titusville, FL 32796-3548 | 2013-06-19 |
| 1831392323 | Bernadette Susan Woods-mcshane Inc | Optometrist | 4310 S Hopkins Ave, Titusville, FL 32780-6610 | 2007-06-11 |
| 1356419550 | Richard Bruce Jensen | Optometrist | 414 Garden St, Titusville, FL 32796-2848 | 2006-12-04 |
| 1003982851 | Warren S. Schmitt | Optometrist | 1851 Knox Mcrae Dr, Titusville, FL 32780-5492 | 2006-11-24 |
| 1700856861 | Mark Raymond Watson | Optometrist | 3175 Cheney Hwy, Titusville, FL 32780-5979 | 2006-01-23 |
| 1063403012 | John R Owens | Optometrist | 407 S Washington Ave, Titusville, FL 32796-3500 | 2005-10-31 |
| 1245222934 | Carroll Gregory Aker | Optometrist | 338 S Washington Ave, Titusville, FL 32796-3548 | 2005-08-18 |
| 1245722917 | Dillon Smith | Optometrist | 730 S Washington Ave, Titusville, FL 32780 | 2018-05-30 |
| 1528424439 | Hendrixs Eye Care, Inc. | Optometrist | 1917 Knox Mcrae Dr, Titusville, FL 32780-5360 | 2016-01-07 |
| Find all providers in TITUSVILLE | ||||
| City | TITUSVILLE |
| Zip Code | 32780 |
Please comment or provide details below to improve the information on DR. THERESE B DAHL.
| 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.