St. Cloud Eye Care | |
2050 Old Hickory Tree Rd, Suite I, Saint Cloud, FL 34772-8926 | |
(407) 556-3969 | |
Not Available |
Full Name | St. Cloud Eye Care |
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Type | Facility |
Speciality | Optometrist |
Location | 2050 Old Hickory Tree Rd, Saint Cloud, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093035032 | NPI | - | NPPES |
621268900 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | OPC4211 (Florida) | Primary |
Provider Name | Colleen T Bui |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1528251907 PECOS PAC ID: 1850488313 Enrollment ID: I20071116000387 |
Mailing Address | Practice Location Address |
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St. Cloud Eye Care 2050 Old Hickory Tree Rd, Suite I, Saint Cloud, FL 34772-8926 Ph: () - | St. Cloud Eye Care 2050 Old Hickory Tree Rd, Suite I, Saint Cloud, FL 34772-8926 Ph: (407) 556-3969 |
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