| Eyecare Of Longwood | |
|
983 W State Road 434, Longwood, FL 32750-5103 | |
| (407) 261-0505 | |
| (407) 831-4936 |
| Full Name | Eyecare Of Longwood |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 983 W State Road 434, Longwood, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427177039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 2675 (Florida) | Primary |
| Provider Name | Dale S Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730344433 PECOS PAC ID: 9931267846 Enrollment ID: I20081022000126 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyecare Of Longwood 983 W State Road 434, Longwood, FL 32750-5103 Ph: (407) 261-0505 | Eyecare Of Longwood 983 W State Road 434, Longwood, FL 32750-5103 Ph: (407) 261-0505 |
Dr. Christopher Pearson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 E Lake Brantley Dr, Longwood, FL 32779 Phone: 407-869-4733 Fax: 407-869-1782 | |
Marc H Sherman Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1495 W State Road 434, Suite 109, Longwood, FL 32750 Phone: 407-332-8255 Fax: 407-332-5769 | |
Laura Kelly, Optometrist Medicare: Medicare Enrolled Practice Location: 1495 W Sr 434, Longwood, FL 32750 Phone: 407-332-8255 | |
Sabal Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 105 E Lake Brantley Dr, Longwood, FL 32779 Phone: 407-869-4733 | |
Marc H Sherman, OD, PA Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1495 W State Road 434, Suite 109, Longwood, FL 32750 Phone: 407-332-8255 Fax: 407-332-5769 | |
Dr. Dale S Johnson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 983 W State Road 434, Longwood, FL 32750 Phone: 407-261-0505 Fax: 407-831-4936 |