Gateway Vision Inc | |
447 Atlantic Blvd, Suite # 1, Atlantic Beach, FL 32233-4004 | |
(904) 247-0211 | |
(904) 246-6115 |
Full Name | Gateway Vision Inc |
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Type | Facility |
Speciality | Optometrist |
Location | 447 Atlantic Blvd, Atlantic Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1205885886 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPC002051 (Florida) | Primary |
Provider Name | Richard S Grimshaw |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912963877 PECOS PAC ID: 3072525021 Enrollment ID: I20060717000244 |
Provider Name | Mark A Popp |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1225089295 PECOS PAC ID: 4981616935 Enrollment ID: I20060717000265 |
Mailing Address | Practice Location Address |
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Gateway Vision Inc 447 Atlantic Blvd, Suite # 1, Atlantic Beach, FL 32233-4004 Ph: (904) 247-0211 | Gateway Vision Inc 447 Atlantic Blvd, Suite # 1, Atlantic Beach, FL 32233-4004 Ph: (904) 247-0211 |
Mark Alan Popp, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 447 Atlantic Blvd, Atlantic Beach, FL 32233 Phone: 904-247-0211 Fax: 904-246-6115 | |
Dr. Amanda Rose Kovacs, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 447 Atlantic Blvd Ste 1, Atlantic Beach, FL 32233 Phone: 904-247-0211 |