Total Vision Of Port Orange, Inc. | |
5820 S Williamson Blvd Ste 106, Port Orange, FL 32128-6400 | |
(386) 767-4449 | |
(386) 767-1980 |
Full Name | Total Vision Of Port Orange, Inc. |
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Type | Facility |
Speciality | Optometrist |
Location | 5820 S Williamson Blvd Ste 106, Port Orange, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598984676 | NPI | - | NPPES |
620815100 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Kirsten R Wilgers |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1265424188 PECOS PAC ID: 3072580323 Enrollment ID: I20050801000233 |
Provider Name | Charles Edwin Heacock |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942294905 PECOS PAC ID: 9436287083 Enrollment ID: I20100514000128 |
Provider Name | Brian Peterson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1477987741 PECOS PAC ID: 4880909324 Enrollment ID: I20150813009811 |
Provider Name | Nicola J Granger |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1619350022 PECOS PAC ID: 3779877220 Enrollment ID: I20160808000305 |
Provider Name | Whitney S Rogers |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518495688 PECOS PAC ID: 3375948128 Enrollment ID: I20210817004244 |
Mailing Address | Practice Location Address |
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Total Vision Of Port Orange, Inc. 5820 S Williamson Blvd Ste 106, Port Orange, FL 32128-6400 Ph: (386) 767-4449 | Total Vision Of Port Orange, Inc. 5820 S Williamson Blvd Ste 106, Port Orange, FL 32128-6400 Ph: (386) 767-4449 |
Blahnik Eye Care Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3740 S Ridgewood Ave, Unit 103, Port Orange, FL 32129 Phone: 386-492-6999 Fax: 386-492-6900 | |
Dr. Larissa Dvorak, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1590 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-756-1900 Fax: 386-756-8133 | |
Jessica Jordan Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-7360 | |
Dr. Kirsten Reed Wilgers, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5820 Williamson Blvd, Suite 106, Port Orange, FL 32128 Phone: 386-767-4449 Fax: 386-767-1980 | |
Gregory T Kipp, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3820 S Nova Rd, Port Orange, FL 32127 Phone: 386-767-0068 Fax: 386-767-4755 | |
Elizabeth Josephine Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1771 Dunlawton Ave, Port Orange, FL 32127 Phone: 386-304-3328 | |
Dr. Marissa Nicotra, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5517 S Williamson Blvd Ste 310, Port Orange, FL 32128 Phone: 386-322-4304 |