| Joseph Lewis Licht, DO | |
|
1100 N Lyle Ave, Crystal River, FL 34429-8741 | |
| (352) 320-2007 | |
| (305) 675-3370 |
| Full Name | Joseph Lewis Licht |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Experience | 11 Years |
| Location | 1100 N Lyle Ave, Crystal River, Florida |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497147680 | NPI | - | NPPES |
| 112937700 | Medicaid | FL |
| Facility Name | Location | Facility Type |
|---|---|---|
| Regional Medical Center Bayonet Point | Hudson, FL | Hospital |
| Halifax Health Medical Center | Daytona beach, FL | Hospital |
| Marion Communtiy Hospital | Ocala, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Abita Eye Group Llc | 4082957048 | 5 |
| St Lukes At The Villages Pa | 5294987905 | 17 |
| Halifax Healthcare Systems Inc | 1254238090 | 341 |
| Vision One Inc | 9830197623 | 8 |
| Entity Name | Vision One Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457308322 PECOS PAC ID: 9830197623 Enrollment ID: O20061114000436 |
| Entity Name | Associated Comprehensive Eyecare P A |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407906159 PECOS PAC ID: 0749354157 Enrollment ID: O20080804000143 |
| Entity Name | Central Florida Cataract And Laser Surgery Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1508063884 PECOS PAC ID: 2365693959 Enrollment ID: O20121107000448 |
| Entity Name | St Lukes At The Villages Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801144217 PECOS PAC ID: 5294987905 Enrollment ID: O20121204000015 |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph Lewis Licht, DO 4330 Sheridan St # 102b, Hollywood, FL 33021-1407 Ph: (954) 287-2010 | Joseph Lewis Licht, DO 1100 N Lyle Ave, Crystal River, FL 34429-8741 Ph: (352) 320-2007 |
Dr. Joseph John Ross, M.D.,F.A.C.S. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 295 Se Highway 19, Crystal River, FL 34429 Phone: 352-795-6622 Fax: 352-563-2598 |