| Macali Eye Clinic, Pa | |
|
1155 S Vineland Rd, Suite 101, Winter Garden, FL 34787-4375 | |
| (407) 656-3755 | |
| (407) 656-5362 |
| Full Name | Macali Eye Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1155 S Vineland Rd, Winter Garden, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407037690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OP002373 (Florida) | Primary |
| Provider Name | Neil Macali |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992786172 PECOS PAC ID: 9234248170 Enrollment ID: I20101111000405 |
| Provider Name | Anthony Tam Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043575228 PECOS PAC ID: 2466600390 Enrollment ID: I20131210000746 |
| Provider Name | Laura Jean Purdue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780065771 PECOS PAC ID: 7315254943 Enrollment ID: I20161027002100 |
| Mailing Address | Practice Location Address |
|---|---|
| Macali Eye Clinic, Pa 1155 S Vineland Rd, Suite 101, Winter Garden, FL 34787-4375 Ph: (407) 656-3755 | Macali Eye Clinic, Pa 1155 S Vineland Rd, Suite 101, Winter Garden, FL 34787-4375 Ph: (407) 656-3755 |
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