| Vision Source Fort Lauderdale | |
|
640 N Federal Hwy, Fort Lauderdale, FL 33304-4686 | |
| (954) 522-3918 | |
| (954) 522-5137 |
| Full Name | Vision Source Fort Lauderdale |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 640 N Federal Hwy, 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 |
|---|---|---|---|
| 1386821379 | NPI | - | NPPES |
| 621267100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC4217 (Florida) | Primary |
| Provider Name | Brandon W Cornish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396937470 PECOS PAC ID: 8921196965 Enrollment ID: I20090727000241 |
| Mailing Address | Practice Location Address |
|---|---|
| Vision Source Fort Lauderdale 640 N Federal Hwy, Fort Lauderdale, FL 33304-4686 Ph: (954) 522-3918 | Vision Source Fort Lauderdale 640 N Federal Hwy, Fort Lauderdale, FL 33304-4686 Ph: (954) 522-3918 |
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 |