Michelle Ketcher, OD | |
9375 66th St N, Pinellas Park, FL 33782-4418 | |
(727) 541-4469 | |
Not Available |
Full Name | Michelle Ketcher |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 9375 66th St N, Pinellas Park, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942908512 | NPI | - | NPPES |
15862567 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 6209 (Florida) | Primary |
Provider Name | Southeast Eye Institute Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073625331 PECOS PAC ID: 8224931993 Enrollment ID: O20040129000966 |
Mailing Address | Practice Location Address |
---|---|
Michelle Ketcher, OD 9375 66th St N, Pinellas Park, FL 33782-4418 Ph: () - | Michelle Ketcher, OD 9375 66th St N, Pinellas Park, FL 33782-4418 Ph: (727) 541-4469 |
Salvatore Musumeci, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 9375 66th St N, Pinellas Park, FL 33782 Phone: 727-541-4469 Fax: 727-546-9661 | |
Michael Dalesio Od P A Optometrist Medicare: Not Enrolled in Medicare Practice Location: 8001 Us Highway 19 N, Pinellas Park, FL 33781 Phone: 727-568-0385 Fax: 727-578-5922 | |
Eye Associates Of Pinellas Optometrist Medicare: Medicare Enrolled Practice Location: 9375 66th St, Pinellas Park, FL 33782 Phone: 727-541-4469 Fax: 727-546-9661 | |
Haines Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7211 Us Highway 19 N, Pinellas Park, FL 33781 Phone: 727-521-2020 Fax: 727-521-6762 | |
Dr. Lori F Werthmiller, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7001 Park Blvd, Pinellas Park, FL 33781 Phone: 727-547-6923 | |
Jennifer L Manning, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6633 80th Ave N, Pinellas Park, FL 33781 Phone: 813-545-2367 | |
Dr. Victoria V. Haines, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 9375 66th St N, Pinellas Park, FL 33782 Phone: 727-541-4469 Fax: 727-546-9661 |