| Mari Shelly Holderby, OD | |
|
7912 Forest City Rd, Orlando, FL 32810-2907 | |
| (407) 905-8827 | |
| (321) 221-2047 |
| Full Name | Mari Shelly Holderby |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 7912 Forest City Rd, Orlando, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881001626 | NPI | - | NPPES |
| 012769900 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC4915 (Florida) | Primary |
| Provider Name | Community Health Centers, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1134258684 PECOS PAC ID: 4082515390 Enrollment ID: O20040120000172 |
| Provider Name | Aeg Florida Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164156246 PECOS PAC ID: 3870960032 Enrollment ID: O20221101003017 |
| Mailing Address | Practice Location Address |
|---|---|
| Mari Shelly Holderby, OD 110 S Woodland St, Winter Garden, FL 34787-3546 Ph: (407) 905-8827 | Mari Shelly Holderby, OD 7912 Forest City Rd, Orlando, FL 32810-2907 Ph: (407) 905-8827 |
Dr. Melisa Shannon Hockett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 E Marks St, Orlando, FL 32803 Phone: 407-841-6220 Fax: 407-423-2285 | |
Mn Eye Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2500 S Kirkman Rd, Orlando, FL 32811 Phone: 407-523-0617 | |
Dr. Dennis Raney, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4980 E Colonial Dr, Orlando, FL 32803 Phone: 407-895-6254 Fax: 407-895-7319 | |
20/20 Eyecare Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5600 W Colonial Dr, Suite 103, Orlando, FL 32808 Phone: 407-298-2020 | |
Eye Associates Of Orlando, P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 6431 S Chickasaw Trl, Orlando, FL 32829 Phone: 407-482-4800 Fax: 407-482-4811 | |
Teresa Goncalves, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2917 Edgewater Dr, Orlando, FL 32804 Phone: 407-423-2030 Fax: 407-423-7354 | |
Dr. Aliasghar Meheboob Jagani, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4829 New Broad St, Orlando, FL 32814 Phone: 407-979-4829 Fax: 407-369-4250 |