| Buena Vista Eyeland Inc | |
|
1619 Us Highway 1, Sebastian, FL 32958-3834 | |
| (772) 388-9330 | |
| (772) 388-3036 |
| Full Name | Buena Vista Eyeland Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1619 Us Highway 1, Sebastian, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205829033 | NPI | - | NPPES |
| 620854100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC003794 (Florida) | Primary |
| Provider Name | Carlo D Fodor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205020864 PECOS PAC ID: 0143122671 Enrollment ID: I20040126000671 |
| Mailing Address | Practice Location Address |
|---|---|
| Buena Vista Eyeland Inc 1619 Us Highway 1, Sebastian, FL 32958-3834 Ph: (772) 388-9330 | Buena Vista Eyeland Inc 1619 Us Highway 1, Sebastian, FL 32958-3834 Ph: (772) 388-9330 |
Connie Lawrence-willis Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2001 Us Highway 1, Sebastian, FL 32958 Phone: 772-589-7337 Fax: 772-589-9238 | |
Riverside Eye Center Optometrist Medicare: Medicare Enrolled Practice Location: 14410 Us Highway 1, Sebastian, FL 32958 Phone: 772-589-8911 Fax: 772-589-7561 | |
Carlo Daniel Fodor, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 1619 Us Highway 1, Sebastian, FL 32958 Phone: 772-388-9330 Fax: 772-388-3036 | |
Dr. Connie Lawrence-willis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2001 Us Highway 1, Sebastian, FL 32958 Phone: 772-589-7337 Fax: 772-589-0707 | |
Camilla Jaye Dunn, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14410 Us Highway 1, Sebastian, FL 32958 Phone: 772-589-8111 Fax: 772-589-7561 | |
Lynn Davis Johnson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1103 Us Highway 1, Sebastian, FL 32958 Phone: 772-589-8654 Fax: 772-581-3810 |