| Visionary Optometry Inc | |
|
1941 Michigan Ave, Cocoa, FL 32922-5728 | |
| (321) 638-3931 | |
| Not Available |
| Full Name | Visionary Optometry Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1941 Michigan Ave, Cocoa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508049925 | NPI | - | NPPES |
| 620988200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 3800 (Florida) | Primary |
| Provider Name | Micah R Girard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285749911 PECOS PAC ID: 5193782647 Enrollment ID: I20041216000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Visionary Optometry Inc 1941 Michigan Ave, Cocoa, FL 32922-5728 Ph: (321) 638-3931 | Visionary Optometry Inc 1941 Michigan Ave, Cocoa, FL 32922-5728 Ph: (321) 638-3931 |
Howard B Bolos, Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 113 Maryland Ave, Cocoa, FL 32922 Phone: 321-636-4422 Fax: 321-632-9254 | |
Micah Ramon Girard, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1941 Michigan Ave, Cocoa, FL 32922 Phone: 321-638-3931 Fax: 321-638-0788 | |
Dr. Jennifer Tonnu Tonthat, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Clearlake Rd, Cocoa, FL 32922 Phone: 321-631-0373 Fax: 321-631-0375 | |
Dr. Howard Bolos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 113 Maryland Ave, Cocoa, FL 32922 Phone: 321-636-4422 Fax: 321-632-9254 |