Cape Coral Eye Center, P.a. | |
4120 Del Prado Blvd, Cape Coral, FL 33904-7165 | |
(239) 542-2020 | |
(239) 541-1492 |
Full Name | Cape Coral Eye Center, P.a. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 4120 Del Prado Blvd, Cape Coral, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427067438 | NPI | - | NPPES |
0008202825 | Other | FL | AETNS PPO |
10D0293672 | Other | FL | CLIA |
72668 | Other | FL | BC/BS |
267723700 | Medicaid | FL | |
C13047 | Other | FL | RR MEDICARE |
0551882 | Other | FL | AETNA HMO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | PH17490 (Florida) | Primary |
Provider Name | Jennifer L Gallo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912905290 PECOS PAC ID: 6406753490 Enrollment ID: I20031217000776 |
Provider Name | Ray C Whetstone |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1124142047 PECOS PAC ID: 9436131471 Enrollment ID: I20040603000900 |
Provider Name | Sabrina K Ackerman |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1851379242 PECOS PAC ID: 5698791820 Enrollment ID: I20051018000385 |
Provider Name | Amy Lynn Mott |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1568587137 PECOS PAC ID: 7416973219 Enrollment ID: I20051024000175 |
Provider Name | John T Patrick |
---|---|
Provider Type | Practitioner - Anesthesiology |
Provider Identifiers | NPI Number: 1497790455 PECOS PAC ID: 4981501004 Enrollment ID: I20051117001023 |
Provider Name | Kathleen A Murray |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1881684322 PECOS PAC ID: 5991716730 Enrollment ID: I20060509000202 |
Provider Name | Roman O Pravak |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1275582082 PECOS PAC ID: 5395711055 Enrollment ID: I20060816000379 |
Provider Name | Susan J Summerton |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1437238912 PECOS PAC ID: 2860594058 Enrollment ID: I20070219000216 |
Provider Name | Peggy I Cuderman |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1568451599 PECOS PAC ID: 6305934373 Enrollment ID: I20071109000087 |
Provider Name | Selina Jia Hwa Lin |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356395487 PECOS PAC ID: 5597774125 Enrollment ID: I20081215000286 |
Provider Name | Rory Dray Brienen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1194757377 PECOS PAC ID: 9931233392 Enrollment ID: I20100820000228 |
Provider Name | Farrell Clifton Tyson |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1508857491 PECOS PAC ID: 3577582691 Enrollment ID: I20111107000216 |
Provider Name | Janice Birr |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1740271519 PECOS PAC ID: 2769655653 Enrollment ID: I20111110000109 |
Provider Name | Stuart I Kaplan |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790776219 PECOS PAC ID: 3476726365 Enrollment ID: I20111110000129 |
Provider Name | Katia E Taba |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1376768242 PECOS PAC ID: 6901903988 Enrollment ID: I20120524000664 |
Provider Name | Lauren D Arthur |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1003302555 PECOS PAC ID: 0749531309 Enrollment ID: I20180920000539 |
Provider Name | Ann L Mcatee |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1457673485 PECOS PAC ID: 3476683756 Enrollment ID: I20190311000169 |
Provider Name | John David Stephens |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1134549967 PECOS PAC ID: 2365756715 Enrollment ID: I20190624000326 |
Provider Name | Cathleen Caraballo |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1295266583 PECOS PAC ID: 7810265154 Enrollment ID: I20200803002008 |
Provider Name | Matthew Gregory Miller |
---|---|
Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
Provider Identifiers | NPI Number: 1821613985 PECOS PAC ID: 2961818455 Enrollment ID: I20210308002482 |
Provider Name | Marilyn Marquez |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1578021267 PECOS PAC ID: 3971833856 Enrollment ID: I20210809000052 |
Provider Name | Cristos Md Ifantides |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1821356676 PECOS PAC ID: 2860782687 Enrollment ID: I20220826000009 |
Provider Name | Elisa Marie Puerto |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1710651245 PECOS PAC ID: 6002282415 Enrollment ID: I20221026000378 |
Provider Name | Monica Tarnawski |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1205570447 PECOS PAC ID: 5597126813 Enrollment ID: I20230803000787 |
Mailing Address | Practice Location Address |
---|---|
Cape Coral Eye Center, P.a. P.o. Box 101427, Cape Coral, FL 33910 Ph: (239) 542-2020 | Cape Coral Eye Center, P.a. 4120 Del Prado Blvd, Cape Coral, FL 33904-7165 Ph: (239) 542-2020 |
Melissa Sue Green, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 614 Se 33rd St, Cape Coral, FL 33904 Phone: 239-823-3998 | |
Dr. Bruce Caide Barbon, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2489 Diplomat Pkwy E, 2c - Eye Clinic, Cape Coral, FL 33909 Phone: 239-652-1800 | |
Thuy Thi Nguyen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 706 Sw Pine Island Rd Unit 102, Cape Coral, FL 33991 Phone: 239-451-5954 | |
Leonard F Avril, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2221 Santa Barbara Blvd, Suite 107, Cape Coral, FL 33991 Phone: 239-574-5406 Fax: 239-574-9212 | |
Gerald A Cowan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 301 Sw Pine Island Rd, Cape Coral, FL 33991 Phone: 239-800-6032 Fax: 239-574-9038 | |
Grace Eye Vision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 706 Sw Pine Island Rd Unit 102, Cape Coral, FL 33991 Phone: 239-451-5954 | |
Dr. Christopher Eric Williamson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3218 Del Prado Blvd S, Cape Coral, FL 33904 Phone: 239-542-2504 Fax: 239-542-5633 |