Driftwood Vision Center | |
3830 S Highway A1a, Unit 11, Melbourne Beach, FL 32951-3143 | |
(321) 308-2015 | |
(321) 308-2017 |
Full Name | Driftwood Vision Center |
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Type | Facility |
Speciality | Optometrist |
Location | 3830 S Highway A1a, Melbourne Beach, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1306024286 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPC3269 (Florida) | Primary |
Provider Name | Brett C Reynolds |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1942346911 PECOS PAC ID: 1153335419 Enrollment ID: I20060130000031 |
Provider Name | Mark R Fisher |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1275576712 PECOS PAC ID: 4981703006 Enrollment ID: I20070629000438 |
Provider Name | Jeanna S Eagerton |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1518908607 PECOS PAC ID: 3971568544 Enrollment ID: I20070802000247 |
Mailing Address | Practice Location Address |
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Driftwood Vision Center 3830 S Highway A1a, Unit 11, Melbourne Beach, FL 32951-3143 Ph: (321) 308-2015 | Driftwood Vision Center 3830 S Highway A1a, Unit 11, Melbourne Beach, FL 32951-3143 Ph: (321) 308-2015 |
Brett Reynolds, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3830 S Highway A1a Ste 11, Melbourne Beach, FL 32951 Phone: 321-308-2015 Fax: 321-308-2017 |