| South Florida Vision Centers | |
|
2900 W Cypress Creek Rd, Suite 1, Fort Lauderdale, FL 33309-1715 | |
| (954) 979-2191 | |
| (954) 979-8988 |
| Full Name | South Florida Vision Centers |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2900 W Cypress Creek Rd, Fort Lauderdale, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912032566 | NPI | - | NPPES |
| 621006609 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC1910 (Florida) | Primary |
| Provider Name | Merryl S Koplo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497747331 PECOS PAC ID: 8022916014 Enrollment ID: I20031229000809 |
| Provider Name | Robert C Coppola |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780672295 PECOS PAC ID: 0042113847 Enrollment ID: I20040129000542 |
| Provider Name | Ronie J Zaruches |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477663276 PECOS PAC ID: 3274624879 Enrollment ID: I20070810000818 |
| Provider Name | Karen A Villagomez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255521613 PECOS PAC ID: 9133219744 Enrollment ID: I20071219000863 |
| Provider Name | Diana Camargo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811141286 PECOS PAC ID: 4789746033 Enrollment ID: I20081219000264 |
| Provider Name | Julie Lynn Owens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750364063 PECOS PAC ID: 5294921417 Enrollment ID: I20101130000218 |
| Provider Name | Farwah Haq |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558678383 PECOS PAC ID: 4587849708 Enrollment ID: I20110503000126 |
| Provider Name | Ashley S Nochomson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891825790 PECOS PAC ID: 8224213467 Enrollment ID: I20110503000358 |
| Provider Name | Heather Schaffer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295983575 PECOS PAC ID: 7719907195 Enrollment ID: I20120306000503 |
| Provider Name | Michele Mclin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407103542 PECOS PAC ID: 0941459143 Enrollment ID: I20121003000562 |
| Provider Name | Sheryl Reaves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023301280 PECOS PAC ID: 7315194826 Enrollment ID: I20150213000305 |
| Provider Name | Pavel V Gazdovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407263700 PECOS PAC ID: 2365756871 Enrollment ID: I20150728005525 |
| Provider Name | Claudia V Soto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053717264 PECOS PAC ID: 9133438542 Enrollment ID: I20151027000439 |
| Provider Name | Stephanie D'orazio-brafman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811372279 PECOS PAC ID: 6406156678 Enrollment ID: I20151120000823 |
| Provider Name | Kurt George Kull |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386059566 PECOS PAC ID: 9638390958 Enrollment ID: I20151124001845 |
| Provider Name | Veronika Ageyeva |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245602895 PECOS PAC ID: 4385942127 Enrollment ID: I20160412002067 |
| Provider Name | Tonya Kohler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568755361 PECOS PAC ID: 8527353614 Enrollment ID: I20160829002875 |
| Provider Name | Quoc Nam Huynh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447789011 PECOS PAC ID: 0042571432 Enrollment ID: I20180227002662 |
| Provider Name | Chris Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730736588 PECOS PAC ID: 2062840515 Enrollment ID: I20200316000591 |
| Provider Name | Robert Sharek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255445912 PECOS PAC ID: 2365745114 Enrollment ID: I20200324000758 |
| Provider Name | Amy Ruzicka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508368556 PECOS PAC ID: 8022372887 Enrollment ID: I20200511001157 |
| Provider Name | Tiffanie Crisi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679199822 PECOS PAC ID: 2668892829 Enrollment ID: I20201009000873 |
| Provider Name | Angelica Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104418490 PECOS PAC ID: 9234545583 Enrollment ID: I20210310002695 |
| Provider Name | Alexander David Furer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932771698 PECOS PAC ID: 2567866734 Enrollment ID: I20210810002360 |
| Provider Name | Gillian A. Thomas-burke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821155466 PECOS PAC ID: 3173912599 Enrollment ID: I20211105000148 |
| Provider Name | Lori Rothman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326164583 PECOS PAC ID: 1052417003 Enrollment ID: I20220927003990 |
| Provider Name | Eric Wright |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558096404 PECOS PAC ID: 0345626164 Enrollment ID: I20221003001130 |
| Provider Name | Young Min Chung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790410637 PECOS PAC ID: 8325424708 Enrollment ID: I20221008000343 |
| Provider Name | Punita Kapadia Rehman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275055378 PECOS PAC ID: 3072983931 Enrollment ID: I20230110002897 |
| Provider Name | Maria Cordova |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528104718 PECOS PAC ID: 5395118368 Enrollment ID: I20230222003222 |
| Mailing Address | Practice Location Address |
|---|---|
| South Florida Vision Centers 2900 W Cypress Creek Rd Ste 4, Ft Lauderdale, FL 33309-1715 Ph: (954) 726-5047 | South Florida Vision Centers 2900 W Cypress Creek Rd, Suite 1, Fort Lauderdale, FL 33309-1715 Ph: (954) 979-2191 |
2020 Eyecare Network Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2900 W Cypress Creek Rd, Suite 4, Fort Lauderdale, FL 33309 Phone: 954-979-2407 Fax: 954-979-2407 | |
Dr. Jade Pestritto, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2120 S Federal Hwy, Fort Lauderdale, FL 33316 Phone: 954-467-3777 | |
Dr. Heather Groves, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2466 E Commercial Blvd Ste 102, Fort Lauderdale, FL 33308 Phone: 954-462-1177 Fax: 954-492-0352 | |
Dr. Leslie A Draper, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2583 E Sunrise Blvd, Fort Lauderdale, FL 33304 Phone: 954-563-8288 | |
Dr. Scott H Schecter, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2900 W Cypress Creek Rd Ste 1, Fort Lauderdale, FL 33309 Phone: 954-977-0192 | |
Dr. Cheryl Lynn Ebmeier, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2641 E Oakland Park Blvd, #3, Fort Lauderdale, FL 33306 Phone: 954-563-2211 Fax: 954-563-3919 | |
Dr. Gary D. Enker, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6215 N Federal Hwy, Fort Lauderdale, FL 33308 Phone: 954-491-7141 Fax: 954-491-7164 |