Northwood Vision | |
2518 N Mcmullen Booth Rd Ste C, Clearwater, FL 33761-4156 | |
(727) 725-5558 | |
(727) 724-3966 |
Full Name | Northwood Vision |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 2518 N Mcmullen Booth Rd Ste C, Clearwater, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861412280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC 003546 (Florida) | Primary |
Provider Name | Christopher K Keats |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992731772 PECOS PAC ID: 2062407190 Enrollment ID: I20040419000360 |
Mailing Address | Practice Location Address |
---|---|
Northwood Vision 2518 N Mcmullen Booth Rd Ste C, Clearwater, FL 33761-4156 Ph: (727) 725-5558 | Northwood Vision 2518 N Mcmullen Booth Rd Ste C, Clearwater, FL 33761-4156 Ph: (727) 725-5558 |
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Northwood Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2518 N Mcmullen Booth Rd Ste C, Clearwater, FL 33761 Phone: 727-725-5558 Fax: 727-724-3966 |