| Mary M Futch Od Pa | |
|
31 S 6th St, Macclenny, FL 32063-2311 | |
| (904) 259-6259 | |
| (904) 259-3436 |
| Full Name | Mary M Futch Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 31 S 6th St, Macclenny, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508122854 | NPI | - | NPPES |
| 20312 | Other | FL | BCBS |
| 1356361208 | Other | FL | NPI |
| OC0002221 | Other | PHARMACY CERTIFICATION | |
| 1508122854 | Other | FL | NPI |
| 620401500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 2517 (Florida) | Primary |
| Provider Name | Mary M Futch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356361208 PECOS PAC ID: 5092976365 Enrollment ID: I20120509000521 |
| Provider Name | Flora C Poveda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770625899 PECOS PAC ID: 7012139330 Enrollment ID: I20141120001715 |
| Mailing Address | Practice Location Address |
|---|---|
| Mary M Futch Od Pa 31 S 6th St, Macclenny, FL 32063-2311 Ph: (904) 259-6259 | Mary M Futch Od Pa 31 S 6th St, Macclenny, FL 32063-2311 Ph: (904) 259-6259 |
Dr. Mary Martha Futch, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 31 S 6th St, Macclenny, FL 32063 Phone: 904-259-6259 Fax: 904-259-3436 | |
Dr. Robert Lowell Phillips, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 534 S 5th St, Macclenny, FL 32063 Phone: 904-259-6797 Fax: 904-259-5230 |