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4377 Woodbine Rd, Pace, FL 32571-8792 | |
| (850) 995-4555 | |
| (850) 995-4556 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4377 Woodbine Rd, Pace, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891207742 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC3828 (Florida) | Primary |
| Provider Name | Clyde D Reynolds |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811975634 PECOS PAC ID: 2860382108 Enrollment ID: I20040318001416 |
| Provider Name | Susan J Summerton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437238912 PECOS PAC ID: 2860594058 Enrollment ID: I20070219000216 |
| Provider Name | Sharon M Branscome |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194836312 PECOS PAC ID: 0042318560 Enrollment ID: I20070607000176 |
| Provider Name | Franklin A Joslin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174633390 PECOS PAC ID: 0446313902 Enrollment ID: I20090108000683 |
| Provider Name | Brandi C Slapkunas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619257789 PECOS PAC ID: 7810150646 Enrollment ID: I20120515000349 |
| Provider Name | Andrew M Sahawneh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356844187 PECOS PAC ID: 3779833249 Enrollment ID: I20190918001525 |
| Provider Name | Hannah M Sahawneh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992290191 PECOS PAC ID: 7810249158 Enrollment ID: I20190918002607 |
| Provider Name | Stephen Thomas Tipton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730698010 PECOS PAC ID: 2961818729 Enrollment ID: I20210303001193 |
| Provider Name | Jeanine E Spoors |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265126080 PECOS PAC ID: 0648624031 Enrollment ID: I20231004001716 |
| Provider Name | Jacob Daniel Lock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699516898 PECOS PAC ID: 5890239602 Enrollment ID: I20240703003702 |
| Mailing Address | Practice Location Address |
|---|---|
460 E Nine Mile Rd, Pensacola, FL 32514-1441 Ph: (850) 477-1499 | 4377 Woodbine Rd, Pace, FL 32571-8792 Ph: (850) 995-4555 |
Johnny Adrian Pascual, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4954 Highway 90, Pace, FL 32571 Phone: 850-910-4840 Fax: 850-254-2970 | |
Dr. Andrew David Burtchell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4954 Highway 90, Pace, FL 32571 Phone: 850-910-4840 | |
Dr. Trace Adam Barton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5389 Woodbine Rd, Pace, FL 32571 Phone: 850-995-3232 Fax: 850-995-2606 | |
Miss Mong Linh Thi Van, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5389 Woodbine Rd, Pace, FL 32571 Phone: 850-995-3232 Fax: 850-995-2606 | |
Dr. Troy Bell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3754 Highway 90, Suite 390, Pace, FL 32571 Phone: 850-266-7500 Fax: 850-290-5952 | |
Dr. Sharon Marie Branscome, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4377 Woodbine Rd, Pace, FL 32571 Phone: 850-995-4555 | |