| Coppedge Eyecare, Llc | |
|
86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 | |
| (352) 796-2141 | |
| Not Available |
| Full Name | Coppedge Eyecare, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 86 Ponce De Leon Blvd, Brooksville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568690238 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC004216 (Florida) | Primary |
| Provider Name | Amanda N Coppedge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356533566 PECOS PAC ID: 0446345789 Enrollment ID: I20071002000718 |
| Provider Name | John Casey Coppedge |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710179932 PECOS PAC ID: 1355430075 Enrollment ID: I20071204000284 |
| Provider Name | Addison P Dimartino |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083963466 PECOS PAC ID: 9739330770 Enrollment ID: I20150723008239 |
| Mailing Address | Practice Location Address |
|---|---|
| Coppedge Eyecare, Llc 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 Ph: (352) 796-2141 | Coppedge Eyecare, Llc 86 Ponce De Leon Blvd, Brooksville, FL 34601-2818 Ph: (352) 796-2141 |
James Revennaugh, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 86 Ponce De Leon Blvd, Brooksville, FL 34601 Phone: 352-796-2141 | |
Dr. John Hill Coppedge Jr., OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 86 Ponce De Leon Blvd, Brooksville, FL 34601 Phone: 352-796-2141 Fax: 352-796-2325 | |
Kathleen D. Wooster, O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 924 Candlelight Blvd, Brooksville, FL 34601 Phone: 352-797-5505 Fax: 352-799-0462 | |
Dr. David Brian Fritz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1202 S Broad St, Brooksville, FL 34601 Phone: 352-796-1900 | |
Vision Specialty Assoc., P.a. #09 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 13161 Cortez Blvd, Brooksville, FL 34613 Phone: 352-597-0410 Fax: 352-515-0750 | |
Coppedge And Wooster Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 86 Ponce De Leon Blvd, Brooksville, FL 34601 Phone: 352-796-2141 Fax: 352-796-2325 |