Dr Ronald Sherburne Grand, OD | |
741 Front St, Suite 120, Celebration, FL 34747-4991 | |
(407) 566-2020 | |
(407) 566-2010 |
Full Name | Dr Ronald Sherburne Grand |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 741 Front St, Celebration, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952390460 | NPI | - | NPPES |
078924100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC0001995 (Florida) | Primary |
Provider Name | Celebration Eye Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1366624769 PECOS PAC ID: 8224186150 Enrollment ID: O20090504000467 |
Mailing Address | Practice Location Address |
---|---|
Dr Ronald Sherburne Grand, OD 741 Front St, Suite 120, Celebration, FL 34747-4991 Ph: (407) 566-2020 | Dr Ronald Sherburne Grand, OD 741 Front St, Suite 120, Celebration, FL 34747-4991 Ph: (407) 566-2020 |
Dr. Margaret Louise Grand, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 741 Front St, Suite 120, Celebration, FL 34747 Phone: 407-566-2020 | |
Raymond Rodriguez Iii, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 766 Celebration Ave Unit 2203, Celebration, FL 34747 Phone: 787-462-4141 | |
Dr. Christine Y Blick, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Celebration Ave, Celebration, FL 34747 Phone: 407-566-8585 Fax: 407-566-8253 | |
Celebration Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 741 Front St, Suite 120, Celebration, FL 34747 Phone: 407-566-2020 | |
Carina Michele Grand, OD Optometrist Medicare: Medicare Enrolled Practice Location: 741 Front St Ste 120, Celebration, FL 34747 Phone: 407-566-2020 | |
Dr. Jason Wallace, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 Celebration Ave, Celebration, FL 34747 Phone: 407-566-8505 Fax: 407-566-8253 | |
Envision Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 502 Celebration Ave, Celebration, FL 34747 Phone: 407-566-8585 Fax: 407-566-8253 |