John W Mcclane Iii, OD | |
6 South 14th Street, Fernandina Beach, FL 32034 | |
(904) 261-5741 | |
(904) 261-7383 |
Full Name | John W Mcclane Iii |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 6 South 14th Street, Fernandina Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366529075 | NPI | - | NPPES |
00261797C | Medicaid | GA | |
00243911B | Medicaid | GA | |
00254141B | Medicaid | GA | |
959951220A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 887 (Georgia) | Secondary |
152W00000X | Optometrist | 1488 (Florida) | Primary |
Provider Name | Russell Stackhouse Md Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1538655014 PECOS PAC ID: 9133473325 Enrollment ID: O20181107000636 |
Mailing Address | Practice Location Address |
---|---|
John W Mcclane Iii, OD 6 South 14th Street, Fernandina Beach, FL 32034 Ph: (904) 261-5741 | John W Mcclane Iii, OD 6 South 14th Street, Fernandina Beach, FL 32034 Ph: (904) 261-5741 |
Stephen D. Stubits, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6 South 14th Street, Fernandina Beach, FL 32034 Phone: 904-261-5741 Fax: 904-261-7383 | |
Amelia Island Doctors Of Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1523 Sadler Rd, Fernandina Beach, FL 32034 Phone: 904-647-4224 | |
Amelia Eye Associates Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1411 S 14th St, Suite G, Fernandina Beach, FL 32034 Phone: 904-321-1333 Fax: 904-277-1255 | |
Dr. Katelyn Marie Marks, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6 S 14th St, Fernandina Beach, FL 32034 Phone: 904-261-5741 | |
Rockatonia Bradley, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1523 Sadler Rd, Fernandina Beach, FL 32034 Phone: 270-277-2779 Fax: 270-277-2779 | |
Eye Envy Optical Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1523 Sadler Rd, Fernandina Beach, FL 32034 Phone: 904-261-5955 Fax: 904-261-5956 |