| Davis Optometry Group Pa | |
|
2922 Jefferson St, Marianna, FL 32446-3448 | |
| (850) 526-4550 | |
| (850) 526-1200 |
| Full Name | Davis Optometry Group Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2922 Jefferson St, Marianna, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831256726 | NPI | - | NPPES |
| 0574680001 | Other | FL | DMERC -C |
| 078275100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Marion B Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881660827 PECOS PAC ID: 9739259789 Enrollment ID: I20080602000914 |
| Provider Name | Jeffrey K Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659347698 PECOS PAC ID: 1557431509 Enrollment ID: I20080603000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Davis Optometry Group Pa 2922 Jefferson St, Marianna, FL 32446-3448 Ph: (850) 526-4550 | Davis Optometry Group Pa 2922 Jefferson St, Marianna, FL 32446-3448 Ph: (850) 526-4550 |
Hyrum Wahlquist, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4340 Lafayette St, Marianna, FL 32446 Phone: 850-482-2336 | |
Dr. Alan E Pelt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4340 Lafayette St, Marianna, FL 32446 Phone: 850-482-2336 Fax: 850-526-5337 | |
Mullis Eye Institute Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4320 5th Ave, Marianna, FL 32446 Phone: 850-526-7775 Fax: 850-763-6665 | |
Pelt Eye Clinic, P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4340 Lafayette St, Marianna, FL 32446 Phone: 850-482-2336 Fax: 850-526-5337 | |
William Peacock Optometrist Medicare: Medicare Enrolled Practice Location: 2255 Highway 71, Marianna, FL 32448 Phone: 850-526-0067 Fax: 850-526-0069 | |
Dr. David G Pelt, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4340 Lafayette St, Marianna, FL 32446 Phone: 850-482-2336 Fax: 850-526-5337 | |
Jeffrey K. Davis, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2922 Jefferson St, Marianna, FL 32446 Phone: 850-526-4550 Fax: 850-526-1200 |