C S Peters Od, Pa | |
111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | |
(850) 678-1722 | |
Not Available |
Full Name | C S Peters Od, Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 111 N John Sims Pkwy, Valparaiso, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477853364 | NPI | - | NPPES |
084488800 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OP0001109 (Florida) | Primary |
Mailing Address | Practice Location Address |
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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: Medicare Enrolled Practice Location: 111 N John Sims Pkwy, Valparaiso, FL 32580 Phone: 850-678-1722 |