Mid Florida Eye Center Pa | |
17560 Us Highway 441, Mount Dora, FL 32757-6711 | |
(352) 735-2020 | |
Not Available |
Full Name | Mid Florida Eye Center Pa |
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Type | Facility |
Speciality | Ophthalmology |
Location | 17560 Us Highway 441, Mount Dora, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710980883 | NPI | - | NPPES |
376541500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Raoul David Maizel |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1831192954 PECOS PAC ID: 0749214104 Enrollment ID: I20051006000110 |
Provider Name | Glenn D Pieschke |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1639139439 PECOS PAC ID: 1850498759 Enrollment ID: I20070529000242 |
Provider Name | Maricely Gonzalez Macion |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1609084730 PECOS PAC ID: 7517048648 Enrollment ID: I20080115000610 |
Provider Name | Claudio A Ferreira |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1548207426 PECOS PAC ID: 5991781098 Enrollment ID: I20100217000157 |
Provider Name | Keith C. Charles |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1255334389 PECOS PAC ID: 6103996889 Enrollment ID: I20100810000390 |
Provider Name | Jeffrey D Baumann |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1841293974 PECOS PAC ID: 9436163607 Enrollment ID: I20100813000524 |
Provider Name | Gregory John Panzo |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457354573 PECOS PAC ID: 8820160781 Enrollment ID: I20100825000167 |
Provider Name | Edyta H Weppelmann |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376142828 PECOS PAC ID: 8325450596 Enrollment ID: I20201211000421 |
Provider Name | Daniel T Nolan |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1053781013 PECOS PAC ID: 3375847205 Enrollment ID: I20220802003587 |
Provider Name | William Plum |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1356731343 PECOS PAC ID: 2365791316 Enrollment ID: I20230520000064 |
Mailing Address | Practice Location Address |
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Mid Florida Eye Center Pa 17560 Highway 441, Mount Dora, FL 32757-6711 Ph: (352) 735-2020 | Mid Florida Eye Center Pa 17560 Us Highway 441, Mount Dora, FL 32757-6711 Ph: (352) 735-2020 |