Provider Demographics
NPI:1295837599
Name:KAPLAN, GEORGE (OD)
Entity Type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:
Last Name:KAPLAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 NE US HIGHWAY 19
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34429-4232
Mailing Address - Country:US
Mailing Address - Phone:352-795-2526
Mailing Address - Fax:352-795-1435
Practice Address - Street 1:221 NE US HIGHWAY 19
Practice Address - Street 2:
Practice Address - City:CRYSTAL RIVER
Practice Address - State:FL
Practice Address - Zip Code:34429-4232
Practice Address - Country:US
Practice Address - Phone:352-795-2526
Practice Address - Fax:352-795-1435
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-05
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOP0001356152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL078203300Medicaid
FL410022426OtherRR MEDICARE
FL19937OtherBCBSFL
FL19937OtherBCBSFL
FL19937Medicare PIN