| Howard B Bolos, Od Pa | |
|
113 Maryland Ave, Cocoa, FL 32922-7832 | |
| (321) 636-4422 | |
| (321) 632-9254 |
| Full Name | Howard B Bolos, Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 113 Maryland Ave, Cocoa, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013278456 | NPI | - | NPPES |
| 078230100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 001719 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Howard B Bolos, Od Pa 113 Maryland Ave, Cocoa, FL 32922-7832 Ph: () - | Howard B Bolos, Od Pa 113 Maryland Ave, Cocoa, FL 32922-7832 Ph: (321) 636-4422 |
Micah Ramon Girard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1941 Michigan Ave, Cocoa, FL 32922 Phone: 321-638-3931 Fax: 321-638-0788 | |
Visionary Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1941 Michigan Ave, Cocoa, FL 32922 Phone: 321-638-3931 | |
Dr. Jennifer Tonnu Tonthat, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Clearlake Rd, Cocoa, FL 32922 Phone: 321-631-0373 Fax: 321-631-0375 | |
Dr. Howard Bolos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 113 Maryland Ave, Cocoa, FL 32922 Phone: 321-636-4422 Fax: 321-632-9254 |