| Dr Charles Gordon Stevenson Iii, OD | |
|
770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 | |
| (850) 892-5514 | |
| (850) 892-0189 |
| Full Name | Dr Charles Gordon Stevenson Iii |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 37 Years |
| Location | 770 Hwy 331 South, Defuniak Springs, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003999756 | NPI | - | NPPES |
| 084170600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OP0002311 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vision Hub Llc | 7214330786 | 4 |
| Provider Name | Chuck Stevenson Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962703009 PECOS PAC ID: 2860510211 Enrollment ID: O20101118000999 |
| Provider Name | Vision Hub Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1720652316 PECOS PAC ID: 7214330786 Enrollment ID: O20210721000985 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Charles Gordon Stevenson Iii, OD Po Box 1289, Defuniak Springs, FL 32435 Ph: (850) 892-5514 | Dr Charles Gordon Stevenson Iii, OD 770 Hwy 331 South, Suite 1, Defuniak Springs, FL 32435 Ph: (850) 892-5514 |
Christopher Thomas Polk, OD Optometrist Medicare: Accepting Medicare Assignments 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 |