| Jay Justin Older, MD | |
|
4444 E Fletcher Ave Ste D, Tampa, FL 33613-4905 | |
| (813) 971-3846 | |
| (813) 977-2611 |
| Full Name | Jay Justin Older |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery |
| Location | 4444 E Fletcher Ave Ste D, Tampa, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477531432 | NPI | - | NPPES |
| ME0021356 | Other | FL | STATE LICENSE # |
| 1036672011 | Other | FL | CIGNA |
| 29789 | Other | FL | BCBS INDIVIDUAL # |
| 181907220 | Other | FL | RAILROAD MEDICARE |
| 624179 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | ME21356 (Florida) | Secondary |
| 207WX0200X | Ophthalmology - Ophthalmic Plastic And Reconstructive Surgery | ME21356 (Florida) | Primary |
| Entity Name | The Eye Physicians Of Pinellas, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114925153 PECOS PAC ID: 5092629071 Enrollment ID: O20040507000828 |
| Entity Name | Pasadena Eye Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528083755 PECOS PAC ID: 1456383967 Enrollment ID: O20050906000851 |
| Entity Name | Paul Herschel Bowman Md |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558378141 PECOS PAC ID: 3577525682 Enrollment ID: O20100907000253 |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Justin Older, MD 4444 E Fletcher Ave Ste D, Tampa, FL 33613-4905 Ph: (813) 971-3846 | Jay Justin Older, MD 4444 E Fletcher Ave Ste D, Tampa, FL 33613-4905 Ph: (813) 971-3846 |
Don J Perez, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 4506 Wishart Pl, Tampa, FL 33603 Phone: 813-875-6588 Fax: 813-873-3688 | |
Anna E Nogales, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3000 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607 Phone: 813-877-2020 Fax: 813-872-7387 | |
Craig Berger, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3242 Cove Bend Dr, Tampa, FL 33613 Phone: 813-265-6940 Fax: 813-908-3937 | |
Carlos Alberto Solorzano, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 3233 W Columbus Dr, Tampa, FL 33607 Phone: 813-933-6464 Fax: 727-593-1034 | |
Dr. Heidi Boutros Mina, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 13330 Usf Laurel Dr, Tampa, FL 33612 Phone: 813-821-8038 | |
Andrew Joseph Mueller, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 3109 W Azeele St, Tampa, FL 33609 Phone: 813-873-5437 Fax: 813-873-9373 | |
Dr. Jory David Williams, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 501 N Howard Ave, Suite # 100, Tampa, FL 33606 Phone: 813-253-2727 Fax: 813-253-2729 |