| Brandon Eye Associates Pa | |
|
540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 | |
| (813) 684-2211 | |
| (813) 655-7669 |
| Full Name | Brandon Eye Associates Pa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 540 Medical Oaks Ave, Brandon, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215969357 | NPI | - | NPPES |
| 256356800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Haroon Ilyas |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1477521052 PECOS PAC ID: 6406831411 Enrollment ID: I20040623000683 |
| Provider Name | Jennifer S Landy |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386609329 PECOS PAC ID: 0941279731 Enrollment ID: I20040928001350 |
| Provider Name | Neal A. Honickman |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912902487 PECOS PAC ID: 7810039963 Enrollment ID: I20100127000707 |
| Provider Name | Lawrence C Taylor |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699771873 PECOS PAC ID: 7911956560 Enrollment ID: I20100127000754 |
| Provider Name | Thomas G Vanzandt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336178672 PECOS PAC ID: 8921138991 Enrollment ID: I20100617000789 |
| Provider Name | Teofil B Kulyk |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1326065566 PECOS PAC ID: 8224051743 Enrollment ID: I20120229000863 |
| Provider Name | Diane E Kerris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528103173 PECOS PAC ID: 1254554926 Enrollment ID: I20140527001551 |
| Provider Name | George H Fisher |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1770859092 PECOS PAC ID: 1557654753 Enrollment ID: I20160726001650 |
| Provider Name | Seth H Oppenheim |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073587952 PECOS PAC ID: 4284714437 Enrollment ID: I20170621002581 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Eye Associates Pa 540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 Ph: (813) 684-2211 | Brandon Eye Associates Pa 540 Medical Oaks Ave, Suite 103, Brandon, FL 33511-5995 Ph: (813) 684-2211 |