| Nicola Granger, OD | |
|
524 Canal St, New Smyrna Beach, FL 32168-7012 | |
| (386) 423-5190 | |
| Not Available |
| Full Name | Nicola Granger |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 9 Years |
| Location | 524 Canal St, New Smyrna Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619350022 | NPI | - | NPPES |
| IQ6502 | Other | FL | MEDICARE PTAN |
| 017822000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 5177 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Myeyedr Optometry Of Florida, Llc | 0143541037 | 90 |
| Total Vision Of Port Orange, Inc. | 9830166255 | 3 |
| Provider Name | Timko And Cady Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740305606 PECOS PAC ID: 6406822386 Enrollment ID: O20040902000959 |
| 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 |
|---|---|
| Nicola Granger, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Nicola Granger, OD 524 Canal St, New Smyrna Beach, FL 32168-7012 Ph: (386) 423-5190 |
Volusia Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 641 Middlebury Loop, New Smyrna Beach, FL 32168 Phone: 407-353-9656 | |
Charles D Register, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 103 Faulkner St, New Smyrna Beach, FL 32168 Phone: 386-423-7788 Fax: 386-423-0035 | |
Beach Vision Holdings, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 103 Faulkner St, New Smyrna Beach, FL 32168 Phone: 396-423-7788 Fax: 386-423-0035 | |
Nsb Eye Optometrist Medicare: Not Enrolled in Medicare Practice Location: 406 Palmetto St Ste A, New Smyrna Beach, FL 32168 Phone: 386-747-2867 | |
Justin Wayne Knuckles, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-427-4143 Fax: 386-410-2074 | |
Chelsea Elyse Heck, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 415 N Causeway, New Smyrna Beach, FL 32169 Phone: 386-427-4143 |