Ideal Eye Care, Llc | |
912 S Missouri Ave, Clearwater, FL 33756-4298 | |
(727) 443-7642 | |
Not Available |
Full Name | Ideal Eye Care, Llc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 912 S Missouri Ave, Clearwater, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427532381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Christine A Manzella |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1255588877 PECOS PAC ID: 8123181294 Enrollment ID: I20090115000414 |
Provider Name | Thien-trang Katherine Dao |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053794222 PECOS PAC ID: 5395080618 Enrollment ID: I20181214000687 |
Provider Name | Deann Raymond |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1447999206 PECOS PAC ID: 5698154870 Enrollment ID: I20220617001359 |
Provider Name | Samantha Rose Kessler |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548839764 PECOS PAC ID: 3678975638 Enrollment ID: I20240329000167 |
Mailing Address | Practice Location Address |
---|---|
Ideal Eye Care, Llc 912 S Missouri Ave, Clearwater, FL 33756-4298 Ph: () - | Ideal Eye Care, Llc 912 S Missouri Ave, Clearwater, FL 33756-4298 Ph: (727) 443-7642 |
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