| Dr Kevin Thomas Willeford, OD, MS | |
|
3200 S University Dr, Davie, FL 33328-2018 | |
| (954) 262-4200 | |
| (954) 262-3217 |
| Full Name | Dr Kevin Thomas Willeford |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3200 S University Dr, Davie, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922413558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TUV008192-1 (New York) | Secondary |
| 152W00000X | Optometrist | OPFC96 (Florida) | Primary |
| Provider Name | State Of New York Comptrollers Office |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407829856 PECOS PAC ID: 0840101770 Enrollment ID: O20040514000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kevin Thomas Willeford, OD, MS Po Box 290370, Davie, FL 33329-0370 Ph: (954) 262-4200 | Dr Kevin Thomas Willeford, OD, MS 3200 S University Dr, Davie, FL 33328-2018 Ph: (954) 262-4200 |
Dr. Nadine M Girgis - Hanna, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1728 Fax: 954-262-1818 | |
Dr. Heather Noel Cipperly, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3200s University Dr, Terry Building 1402, Davie, FL 33328 Phone: 954-262-4235 Fax: 954-262-3904 | |
Gregory Hill, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3200 S University Dr # 1488, Davie, FL 33328 Phone: 954-262-4228 | |
Dr. Rusk Harris, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8828 W State Road 84, Davie, FL 33324 Phone: 954-916-8484 Fax: 954-476-2668 | |
Dr. Rishi Shah, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4671 S University Dr, Davie, FL 33328 Phone: 703-861-2789 | |
Dr. Samantha Krueger, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-4200 | |
Tsung-hao Wu, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3200 S University Dr, Terry Building #1402b, Davie, FL 33328 Phone: 954-262-4200 |