| Emerald Coast Eye Care | |
|
1714 W 23rd St, Suite K, Panama City, FL 32405-2932 | |
| (850) 215-9101 | |
| (850) 215-9102 |
| Full Name | Emerald Coast Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1714 W 23rd St, Panama City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265668842 | NPI | - | NPPES |
| 6323570001 | Other | FL | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 4373 (Florida) | Primary |
| Provider Name | Dustin O Grubbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285620104 PECOS PAC ID: 5597788521 Enrollment ID: I20060105000361 |
| Provider Name | William P Patterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952559684 PECOS PAC ID: 4284786419 Enrollment ID: I20090717000568 |
| Provider Name | Korrie L Lalim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932201878 PECOS PAC ID: 1153223359 Enrollment ID: I20141112000637 |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Coast Eye Care 1714 W 23rd St, Suite K, Panama City, FL 32405-2932 Ph: (850) 215-9101 | Emerald Coast Eye Care 1714 W 23rd St, Suite K, Panama City, FL 32405-2932 Ph: (850) 215-9101 |
Dr. Mark S Jones, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2500 Martin Luther King Jr Blvd, Panama City, FL 32405 Phone: 850-784-3937 Fax: 850-522-9829 | |
Dr. Lisa Ann Mckim, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1707 W 23rd St, Panama City, FL 32405 Phone: 850-769-4747 | |
Stephanie Quesada Moore Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2638 Jenks Ave, Panama City, FL 32405 Phone: 850-215-2020 | |
On-site Medical Providers Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6928 Bayou George Dr, Panama City, FL 32404 Phone: 210-722-2963 | |
Dr. David J Edinger, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2500 Martin Luther King Jr Blvd, Panama City, FL 32405 Phone: 850-784-3937 Fax: 850-522-9829 | |
Dr. William M. Warneck Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2146 N Cove Blvd, Panama City, FL 32405 Phone: 850-785-4000 Fax: 850-769-6425 | |
Advanced Eye Cre Of Bay Cn Optometrist Medicare: Medicare Enrolled Practice Location: 2500 W 23rd St, Panama City, FL 32405 Phone: 850-784-3936 Fax: 850-784-3539 |