| Chuck Stevenson Od Pa | |
|
770 Us Highway 331 S, Suite 1, Defuniak Springs, FL 32435-3300 | |
| (850) 892-5514 | |
| (850) 892-0189 |
| Full Name | Chuck Stevenson Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 770 Us Highway 331 S, Defuniak Springs, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962703009 | NPI | - | NPPES |
| 084170600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OP0002311 (Florida) | Primary |
| Provider Name | Charles Gordon Stevenson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003999756 PECOS PAC ID: 7517074966 Enrollment ID: I20101118001035 |
| Mailing Address | Practice Location Address |
|---|---|
| Chuck Stevenson Od Pa Po Box 1289, Defuniak Springs, FL 32435-1289 Ph: (850) 892-5514 | Chuck Stevenson Od Pa 770 Us Highway 331 S, Suite 1, Defuniak Springs, FL 32435-3300 Ph: (850) 892-5514 |
Dr. Charles Gordon Stevenson Iii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 Phone: 850-892-5514 Fax: 850-892-0189 | |
Christopher Thomas Polk, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 770 Us Highway 331 S Ste 1, Defuniak Springs, FL 32435 Phone: 850-892-5514 Fax: 850-695-3335 | |
Jo Ellen Tomlinson, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1226 Freeport Hwy S, Defuniak Springs, FL 32435 Phone: 850-892-4022 | |
Dr. Joe R. Evans Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 770 Us Highway 331 S, Suite 1, Defuniak Springs, FL 32435 Phone: 850-892-5514 Fax: 850-892-0189 | |
Dr. Katie Gilbert Spear, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 770 Us Highway 331 S, Ste 1, Defuniak Springs, FL 32435 Phone: 850-207-2080 | |
Jo Ellen Tomlinson Od Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1226 Freeport Hwy S, Defuniak Springs, FL 32435 Phone: 850-892-4022 Fax: 850-892-3975 | |
The Vision Hub Llc Optometrist Medicare: Medicare Enrolled Practice Location: 770 Us Highway 331 S Ste 1, Defuniak Springs, FL 32435 Phone: 850-892-5514 Fax: 850-892-0189 |