| Dr Fonda Marie Moll, OD | |
|
828 S Us Highway 1, Fort Pierce, FL 34950-5126 | |
| (772) 466-2070 | |
| Not Available |
| Full Name | Dr Fonda Marie Moll |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 828 S Us Highway 1, Fort Pierce, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144351495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 2905 (Florida) | Primary |
| Provider Name | Paul B. Moll, O.d. Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1518135649 PECOS PAC ID: 4587558101 Enrollment ID: O20040212000670 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Fonda Marie Moll, OD 828 S Us Highway 1, Fort Pierce, FL 34950-5126 Ph: (772) 466-2070 | Dr Fonda Marie Moll, OD 828 S Us Highway 1, Fort Pierce, FL 34950-5126 Ph: (772) 466-2070 |
Dr. Alexa Sophia Lora, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4976 S 25th St, Fort Pierce, FL 34981 Phone: 772-460-8487 | |
William A. Olivos, Od, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 4976 S 25th St, Fort Pierce, FL 34981 Phone: 772-460-8487 Fax: 772-460-0225 | |
Dr. William A Olivos, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4976 S 25th St, Fort Pierce, FL 34981 Phone: 772-460-8487 Fax: 772-460-0225 | |
Paul B. Moll, O.d. Llc Optometrist Medicare: Medicare Enrolled Practice Location: 828 S Us Highway 1, Fort Pierce, FL 34950 Phone: 772-466-2070 | |
I Stuart Mciver Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 611 S 13th St, Fort Pierce, FL 34950 Phone: 954-232-9585 Fax: 954-433-5770 | |
Dr. Mitchell S Biderman, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2305 Oleander Blvd, Fort Pierce, FL 34982 Phone: 772-465-6616 |