Brandon La, OD | |
250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919 | |
(210) 283-6800 | |
Not Available |
Full Name | Brandon La |
---|---|
Gender | Male |
Speciality | Optometrist - Low Vision Rehabilitation |
Location | 250 Avenue K Sw Ste 200, Winter Haven, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710686118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WL0500X | Optometrist - Low Vision Rehabilitation | OPC6363 (Florida) | Secondary |
Provider Name | University Of The Incarnate Word |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003129784 PECOS PAC ID: 9234310301 Enrollment ID: O20110222001023 |
Mailing Address | Practice Location Address |
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Brandon La, OD 250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919 Ph: () - | Brandon La, OD 250 Avenue K Sw Ste 200, Winter Haven, FL 33880-3919 Ph: (210) 283-6800 |
Edward Attaway, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 863-294-8305 | |
Dr. John Tivnan, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 863-299-0096 | |
Sonya Braudway, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 250 Avenue K Sw, Suite 200, Winter Haven, FL 33880 Phone: 863-297-5400 Fax: 863-293-8230 | |
Thomas W Hegland, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 866-522-3607 | |
Dr. Thomas Brinton, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 863-294-8305 | |
Katie M Salomon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 570 Avenue K Se, Winter Haven, FL 33880 Phone: 863-401-4200 Fax: 863-220-9912 | |
Dr. John Linden Davidson, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 407 Avenue K Se, Winter Haven, FL 33880 Phone: 863-294-3504 Fax: 863-294-8305 |