| |
6739 Gall Blvd, Zephyrhills, FL 33542-2522 | |
(813) 779-3338 | |
(813) 779-3318 |
Full Name | |
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Type | Facility |
Speciality | Ophthalmology |
Location | 6739 Gall Blvd, Zephyrhills, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427005099 | NPI | - | NPPES |
DE5595 | Other | FL | RAILROAD MEDICARE |
97315 | Other | FL | BCBS FLORIDA GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Florida) | Secondary |
207W00000X | Ophthalmology | (Florida) | Primary |
332H00000X | Eyewear Supplier | (Florida) | Secondary |
Provider Name | Ahad Mahootchi |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1043218118 PECOS PAC ID: 1456306661 Enrollment ID: I20050413001164 |
Provider Name | Zhi Hao Huang |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1164945432 PECOS PAC ID: 8820358724 Enrollment ID: I20180215000416 |
Provider Name | Michelle Linn Huffines |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124780754 PECOS PAC ID: 5991193070 Enrollment ID: I20211021002048 |
Mailing Address | Practice Location Address |
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Po Box 1059, Zephyrhills, FL 33539-1059 Ph: (813) 779-3338 | 6739 Gall Blvd, Zephyrhills, FL 33542-2522 Ph: (813) 779-3338 |