Mr Charles E Heacock, OD | |
840 N Stone St, Deland, FL 32720-3256 | |
(386) 734-1766 | |
(386) 740-7866 |
Full Name | Mr Charles E Heacock |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 39 Years |
Location | 840 N Stone St, Deland, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942294905 | NPI | - | NPPES |
078734500 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OP0002236 (Florida) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Myeyedr Optometry Of Florida, Llc | 0143541037 | 90 |
Provider Name | Total Vision Of Port Orange, Inc. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1598984676 PECOS PAC ID: 9830166255 Enrollment ID: O20040915000381 |
Provider Name | Myeyedr Optometry Of Florida, Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073907028 PECOS PAC ID: 0143541037 Enrollment ID: O20150603002802 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles E Heacock, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Mr Charles E Heacock, OD 840 N Stone St, Deland, FL 32720-3256 Ph: (386) 734-1766 |
Dr. Jeffrey L Timko, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 840 N Stone St, Deland, FL 32720 Phone: 386-734-1766 Fax: 386-740-7866 | |
Jacqueline Vanessa Escobar, OD Optometrist Medicare: Medicare Enrolled Practice Location: 840 N Stone St, Deland, FL 32720 Phone: 386-734-1766 | |
Total Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 840 N Stone St, Deland, FL 32720 Phone: 386-734-1766 Fax: 386-740-7866 | |
Total Vision Deland Llc Optometrist Medicare: Medicare Enrolled Practice Location: 121 Victoria Commons Blvd Ste 101, Deland, FL 32724 Phone: 386-271-0991 Fax: 386-469-9272 | |
Vision One Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 801 N Stone St, Deland, FL 32720 Phone: 386-734-4431 Fax: 386-738-1045 | |
Coastal Eye Associates Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1699 N Woodland Blvd, Deland, FL 32720 Phone: 386-734-2240 Fax: 386-734-8859 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 840 N Stone St, Deland, FL 32720 Phone: 386-734-1766 Fax: 386-740-7866 |