C S Peters, OD PA | |
111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | |
(850) 678-1722 | |
Not Available |
Full Name | C S Peters |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 111 N John Sims Pkwy, Valparaiso, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902990161 | NPI | - | NPPES |
084488800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OP0001109 (Florida) | Primary |
Provider Name | Annette Brabham Od Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255635348 PECOS PAC ID: 6406967546 Enrollment ID: O20120420000394 |
Mailing Address | Practice Location Address |
---|---|
C S Peters, OD PA 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 Ph: (850) 678-1722 | C S Peters, OD PA 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 Ph: (850) 678-1722 |
Annette Brabham Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 111 N John Sims Pkwy, Valparaiso, FL 32580 Phone: 850-729-8711 Fax: 850-729-8713 | |
Annette Brabham, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 N John Sims Pkwy, Valparaiso, FL 32580 Phone: 850-729-8711 Fax: 850-729-8713 | |
C S Peters Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 N John Sims Pkwy, Valparaiso, FL 32580 Phone: 850-678-1722 |