| Annette Brabham Od Pa | |
|
111 N John Sims Pkwy, Valparaiso, FL 32580-1005 | |
| (850) 729-8711 | |
| (850) 729-8713 |
| Full Name | Annette Brabham Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 111 N John Sims Pkwy, Valparaiso, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255635348 | NPI | - | NPPES |
| 620523200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OP0002698 (Florida) | Primary |
| Provider Name | C.s. Peters |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902990161 PECOS PAC ID: 5991814196 Enrollment ID: I20101026001239 |
| Provider Name | Annette Brabham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346334422 PECOS PAC ID: 3779694815 Enrollment ID: I20120420000522 |
| Mailing Address | Practice Location Address |
|---|---|
| Annette Brabham Od Pa 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 Ph: (850) 729-8711 | Annette Brabham Od Pa 111 N John Sims Pkwy, Valparaiso, FL 32580-1005 Ph: (850) 729-8711 |
Annette Brabham, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 111 N John Sims Pkwy, Valparaiso, FL 32580 Phone: 850-729-8711 Fax: 850-729-8713 | |
C S Peters Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 111 N John Sims Pkwy, Valparaiso, FL 32580 Phone: 850-678-1722 | |
C S Peters, OD PA Optometrist Medicare: Medicare Enrolled Practice Location: 111 N John Sims Pkwy, Valparaiso, FL 32580 Phone: 850-678-1722 |