Jacob Daniel Lock, OD | |
4377 Woodbine Rd, Pace, FL 32571-8792 | |
(850) 995-4555 | |
(850) 995-4556 |
Full Name | Jacob Daniel Lock |
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Gender | Male |
Speciality | Optometrist |
Location | 4377 Woodbine Rd, Pace, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699516898 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC6464 (Florida) | Primary |
Provider Name | Douglas Reynolds Od Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023164662 PECOS PAC ID: 3375584295 Enrollment ID: O20050520000084 |
Provider Name | Douglas Reynolds, O.d. Santa Rosa, P.a. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1891207742 PECOS PAC ID: 7113286451 Enrollment ID: O20180112002438 |
Mailing Address | Practice Location Address |
---|---|
Jacob Daniel Lock, OD 460 E Nine Mile Rd, Pensacola, FL 32514-1441 Ph: (850) 477-1499 | Jacob Daniel Lock, OD 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 | |