Advanced Eye Cre Of Bay Cn | |
2500 W 23rd St, Panama City, FL 32405-2349 | |
(850) 784-3936 | |
(850) 784-3539 |
Full Name | Advanced Eye Cre Of Bay Cn |
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Type | Facility |
Speciality | Ophthalmology |
Location | 2500 W 23rd St, Panama City, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164460069 | NPI | - | NPPES |
38903 | Other | FL | BCBS FL |
259391200 | Medicaid | FL | |
CM3172 | Other | MEDICARE RETIRED RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Andrew Kortz |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1295710556 PECOS PAC ID: 3577544097 Enrollment ID: I20040601001341 |
Provider Name | Tracy J Beyer |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881762557 PECOS PAC ID: 0749222974 Enrollment ID: I20070911000463 |
Provider Name | Todd W Robinson |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1336153055 PECOS PAC ID: 3476594995 Enrollment ID: I20090402000592 |
Provider Name | Benjamin Ray Hasty |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831137595 PECOS PAC ID: 7214820885 Enrollment ID: I20100708000389 |
Mailing Address | Practice Location Address |
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Advanced Eye Cre Of Bay Cn 2500 W 23rd St, Panama City, FL 32405-2349 Ph: (850) 784-3936 | Advanced Eye Cre Of Bay Cn 2500 W 23rd St, Panama City, FL 32405-2349 Ph: (850) 784-3936 |