Tiffany Monahan, O.D. LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC 3490 Issued in FL

Legal business name

TIFFANY MONAHAN, O.D. LLC

Practice address

3564 SW Archer Rd
Gainesville, FL 32608-2438

Phone

(352) 371-0994

NPI assigned

Oct 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tiffany Kay Monahan, O.D.NPI 1750311122

Title

President

Phone

(352) 371-0994

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tiffany Kay Monahan, O.D.

  • Optometrist
  • Jupiter, FL
  • NPI 1750311122
  NPD (past) Authorized official
• Bradley P Bangstad, O.D.

  • Optometrist
  • Gainesville, FL
  • NPI 1013935006
  NPD (past)
• Paul R. Meyer, O.D.

  • Optometrist
  • Gainesville, FL
  • NPI 1083815021
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720160096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 SW 87TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326087951",
            "telephone_number": "352-359-1803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3564 SW ARCHER RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082438",
            "telephone_number": "352-371-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIFFANY MONAHAN, O.D. LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONAHAN",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-371-0994",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 3490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "68151",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Michelle Tidwell, PSYD
• Ruth Tiederman, ARNP
• Stephen Tiefenbach, R.PH.
• John Walter Tierney Jr., O.D.
• Albert Tieu, PHARMD
• Patrick James Tighe, MD
• Catherine Josephine Tillman, LMHC
• Keith David Tillman, ACUPUNCTURIST
• Mindy Tillman, BCLDO, NCLEC, ABOC
• Stuart Flanders Tillman, M.D.

• Optometrist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.