| William A. Olivos, Od, Pa | |
|
4976 S 25th St, Fort Pierce, FL 34981-4923 | |
| (772) 460-8487 | |
| (772) 460-0225 |
| Full Name | William A. Olivos, Od, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist - Low Vision Rehabilitation |
| Location | 4976 S 25th St, Fort Pierce, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265530703 | NPI | - | NPPES |
| 620569100 | Medicaid | FL | |
| 5718990001 | Other | FL | PALMETTO- DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152WL0500X | Optometrist - Low Vision Rehabilitation | OPC 3500 (Florida) | Primary |
| Provider Name | William A Olivos |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326017658 PECOS PAC ID: 2365494754 Enrollment ID: I20050214000720 |
| Provider Name | Regina L Manes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467445312 PECOS PAC ID: 7517132079 Enrollment ID: I20111212000335 |
| Provider Name | Sarah J Guarascio |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497137582 PECOS PAC ID: 5092025809 Enrollment ID: I20151106001699 |
| Provider Name | Sharon M Gordon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558489799 PECOS PAC ID: 1557665676 Enrollment ID: I20160210002729 |
| Provider Name | Charlton Q Butts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245751759 PECOS PAC ID: 0648536987 Enrollment ID: I20171102001144 |
| Mailing Address | Practice Location Address |
|---|---|
| William A. Olivos, Od, Pa 4976 S 25th St, Fort Pierce, FL 34981-5009 Ph: (772) 460-8487 | William A. Olivos, Od, Pa 4976 S 25th St, Fort Pierce, FL 34981-4923 Ph: (772) 460-8487 |
Dr. Fonda Marie Moll, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 828 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-2070 | |
Dr. William A Olivos, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4976 S 25th St, Fort Pierce, FL 34981 Phone: 772-460-8487 Fax: 772-460-0225 | |
Paul B. Moll, O.d. Llc Optometrist Medicare: Medicare Enrolled Practice Location: 828 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-2070 | |
I Stuart Mciver Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 S 13th St, Fort Pierce, FL 34950 Phone: 954-232-9585 Fax: 954-433-5770 | |
Dr. Mitchell S Biderman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2305 Oleander Blvd, Fort Pierce, FL 34982 Phone: 772-465-6616 | |
Dr. Paul Bradley Moll, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 828 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-2070 |