| David J Feenstra Corp | |
|
1415 State Road 436, Casselberry, FL 32707-6505 | |
| (407) 492-1335 | |
| Not Available |
| Full Name | David J Feenstra Corp |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1415 State Road 436, Casselberry, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619431293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David Feenstra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821125436 PECOS PAC ID: 8022483072 Enrollment ID: I20230405002127 |
| Mailing Address | Practice Location Address |
|---|---|
| David J Feenstra Corp 302 Burleigh Ct, Winter Springs, FL 32708-4367 Ph: (407) 492-1335 | David J Feenstra Corp 1415 State Road 436, Casselberry, FL 32707-6505 Ph: (407) 492-1335 |
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