Brandon Eye Associates | |
540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 | |
(813) 684-2211 | |
(813) 655-7669 |
Full Name | Brandon Eye Associates |
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Type | Facility |
Speciality | Ophthalmology |
Location | 540 Medical Oaks Ave, Brandon, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215969357 | NPI | - | NPPES |
256356800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Haroon Ilyas |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1477521052 PECOS PAC ID: 6406831411 Enrollment ID: I20040623000683 |
Provider Name | Jennifer S Landy |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1386609329 PECOS PAC ID: 0941279731 Enrollment ID: I20040928001350 |
Provider Name | Neal A. Honickman |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912902487 PECOS PAC ID: 7810039963 Enrollment ID: I20100127000707 |
Provider Name | Lawrence C Taylor |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1699771873 PECOS PAC ID: 7911956560 Enrollment ID: I20100127000754 |
Provider Name | Carol M Marquis |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780797399 PECOS PAC ID: 9638211790 Enrollment ID: I20100127000811 |
Provider Name | Thomas G Vanzandt |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336178672 PECOS PAC ID: 8921138991 Enrollment ID: I20100617000789 |
Provider Name | Amy Z Martino |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073702031 PECOS PAC ID: 9931378643 Enrollment ID: I20110815000861 |
Provider Name | Teofil B Kulyk |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1326065566 PECOS PAC ID: 8224051743 Enrollment ID: I20120229000863 |
Provider Name | Diane E Kerris |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528103173 PECOS PAC ID: 1254554926 Enrollment ID: I20140527001551 |
Provider Name | Kimberly M Chaney |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427362359 PECOS PAC ID: 9830319367 Enrollment ID: I20150916001481 |
Provider Name | George H Fisher |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1770859092 PECOS PAC ID: 1557654753 Enrollment ID: I20160726001650 |
Provider Name | Seth H Oppenheim |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1073587952 PECOS PAC ID: 4284714437 Enrollment ID: I20170621002581 |
Provider Name | Reem Asfour |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1972127686 PECOS PAC ID: 6103248968 Enrollment ID: I20200624000661 |
Mailing Address | Practice Location Address |
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Brandon Eye Associates 540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 Ph: (813) 684-2211 | Brandon Eye Associates 540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 Ph: (813) 684-2211 |