Dennis Emery Wilcoxon, OD | |
2643 Gulf To Bay Blvd Ste 1520, Clearwater, FL 33759 | |
(727) 799-3937 | |
(727) 210-1189 |
Full Name | Dennis Emery Wilcoxon |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 37 Years |
Location | 2643 Gulf To Bay Blvd Ste 1520, Clearwater, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932105178 | NPI | - | NPPES |
410039521 | Other | FL | RAIL ROAD MEDICARE |
078875900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC 2255 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of Florida, Llc | 0143541037 | 90 |
Provider Name | Myeyedr Optometry Of Florida, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073907028 PECOS PAC ID: 0143541037 Enrollment ID: O20150603002802 |
Mailing Address | Practice Location Address |
---|---|
Dennis Emery Wilcoxon, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Dennis Emery Wilcoxon, OD 2643 Gulf To Bay Blvd Ste 1520, Clearwater, FL 33759 Ph: (727) 799-3937 |
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