| |
13555 Fl 54 Suite C, Odessa, FL 33556 | |
(813) 454-0670 | |
(813) 730-8090 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 13555 Fl 54 Suite C, Odessa, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841925849 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jennifer C Welter |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1427242718 PECOS PAC ID: 9830285238 Enrollment ID: I20071017000170 |
Provider Name | Brian Daniel Roberts |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1114412384 PECOS PAC ID: 4981941069 Enrollment ID: I20190128001984 |
Provider Name | Christina Marie Spelich |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881186740 PECOS PAC ID: 3678906419 Enrollment ID: I20191209001204 |
Provider Name | Allison Page Dickson |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528547031 PECOS PAC ID: 2365791290 Enrollment ID: I20200404000160 |
Provider Name | Alyssa Marie Jones |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1316516776 PECOS PAC ID: 8123429164 Enrollment ID: I20210628002086 |
Provider Name | Michelle Nhu Quynh Nguyen |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982272423 PECOS PAC ID: 2961806591 Enrollment ID: I20210804002484 |
Provider Name | Esha Rajesh Gandhi |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1376218438 PECOS PAC ID: 3870991953 Enrollment ID: I20211004001251 |
Provider Name | Mikaila Gallagher |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1457109597 PECOS PAC ID: 6002350394 Enrollment ID: I20240627001668 |
Provider Name | Julia Malone |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548001001 PECOS PAC ID: 6002350006 Enrollment ID: I20240702000284 |
Provider Name | Sam Harris Schwartz |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1912752163 PECOS PAC ID: 8729524152 Enrollment ID: I20240722003900 |
Provider Name | Ilira Caboku |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1962245159 PECOS PAC ID: 3375074180 Enrollment ID: I20241003003903 |
Mailing Address | Practice Location Address |
---|---|
1601 Nw Expressway Ste 1420, Oklahoma City, OK 73118-1460 Ph: (405) 438-0345 | 13555 Fl 54 Suite C, Odessa, FL 33556 Ph: (813) 454-0670 |
Beyond 2020 Vision Specialists Odessa Optometrist Medicare: Medicare Enrolled Practice Location: 16230 Hwy 54, Odessa, FL 33556 Phone: 813-926-5993 | |
Vicky Than, OD Optometrist Medicare: Medicare Enrolled Practice Location: 16230 State Road 54, Odessa, FL 33556 Phone: 813-926-5993 | |
Christopher Michael Tumolo, Optometrist Medicare: Medicare Enrolled Practice Location: 16230 State Road 54, Odessa, FL 33556 Phone: 813-926-5993 | |
Dennis Linsey Odpa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 17633 Gunn Hwy, Suite 364, Odessa, FL 33556 Phone: 813-926-5700 Fax: 813-926-7800 |