| Eyecare Center Of Leesburg | |
|
112 E Dixie Ave, Leesburg, FL 34748-6350 | |
| (352) 787-1956 | |
| (352) 365-6690 |
| Full Name | Eyecare Center Of Leesburg |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 112 E Dixie Ave, Leesburg, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588182562 | NPI | - | NPPES |
| 621137200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 4108 (Florida) | Primary |
| Provider Name | Andrew V Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265441455 PECOS PAC ID: 7810996543 Enrollment ID: I20061207000071 |
| Provider Name | Van Mai Mattison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912492919 PECOS PAC ID: 1951635093 Enrollment ID: I20190625000057 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Center Of Leesburg 4137 Briar Gate Ln, Winter Garden, FL 34787-5521 Ph: (407) 256-3763 | Eyecare Center Of Leesburg 112 E Dixie Ave, Leesburg, FL 34748-6350 Ph: (352) 787-1956 |
Dr. Albert Richard Ducharme, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1320 Shelfer St, Leesburg, FL 34748 Phone: 352-728-1700 Fax: 352-728-0057 | |
James Kevin Berry, O.D., P.A. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1320 Shelfer St, Leesburg, FL 34748 Phone: 352-787-9799 Fax: 352-728-0057 | |
Robert S Simon, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 112 E Dixie Ave, Leesburg, FL 34748 Phone: 352-787-1956 Fax: 352-365-6690 | |
James K. Berry Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1320 Shelfer St, Leesburg, FL 34748 Phone: 352-787-9799 Fax: 352-728-0057 | |
Myeyedr. Optometrist Medicare: Medicare Enrolled Practice Location: 1320 Shelfer St, Leesburg, FL 34748 Phone: 352-728-8318 Fax: 372-259-4285 | |
Dr. Mark Ossi, OD Optometrist Medicare: Medicare Enrolled Practice Location: 225 N 1st St, Leesburg, FL 34748 Phone: 407-905-8827 Fax: 352-360-2389 | |
Dr. Andrew Vu Thanh Tran, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 112 E Dixie Ave, Leesburg, FL 34748 Phone: 352-787-1956 Fax: 352-365-6690 |