| Florida Vision Institute Inc | |
|
1050 Se Monterey Rd, Ste 104, Stuart, FL 34994-4512 | |
| (772) 283-2020 | |
| (772) 220-9582 |
| Full Name | Florida Vision Institute Inc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1050 Se Monterey Rd, Stuart, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083614366 | NPI | - | NPPES |
| K0965A | Other | FL | MEDICARE PTAN |
| K0965 | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Florida) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (Florida) | Primary |
| Provider Name | Marc E Brockman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598764672 PECOS PAC ID: 3678466075 Enrollment ID: I20040207000058 |
| Provider Name | Eric F Ciliberti |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1609826825 PECOS PAC ID: 7315931714 Enrollment ID: I20040408001620 |
| Provider Name | Michael J Goldberg |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205843760 PECOS PAC ID: 8921083510 Enrollment ID: I20040619000032 |
| Provider Name | Ryan Y Hargreaves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467580308 PECOS PAC ID: 8729017173 Enrollment ID: I20050806000014 |
| Provider Name | Rebecca G Bobo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083769939 PECOS PAC ID: 1254421183 Enrollment ID: I20071217000125 |
| Provider Name | Louis Lima |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053302281 PECOS PAC ID: 0749331379 Enrollment ID: I20090622000512 |
| Provider Name | Elizabeth Oteiza |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1073565743 PECOS PAC ID: 9234274549 Enrollment ID: I20100310000787 |
| Provider Name | Nichole Hruban |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386805190 PECOS PAC ID: 9537358171 Enrollment ID: I20110112000602 |
| Provider Name | Quentin Blackshear Allen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164483301 PECOS PAC ID: 5092715508 Enrollment ID: I20131125000382 |
| Provider Name | Walid Mangal |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1659529055 PECOS PAC ID: 5991961765 Enrollment ID: I20140701001284 |
| Provider Name | Giovana M Balasquide |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033568084 PECOS PAC ID: 1254624471 Enrollment ID: I20160726002395 |
| Provider Name | Jodi Luchs |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366413023 PECOS PAC ID: 4688770084 Enrollment ID: I20181231000197 |
| Provider Name | Maria Garcia |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629501762 PECOS PAC ID: 6002166410 Enrollment ID: I20230426000973 |
| Provider Name | Karina Somohano |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1588169452 PECOS PAC ID: 6103162417 Enrollment ID: I20230610000023 |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Vision Institute Inc Po Box 947665, Atlanta, GA 30394-7665 Ph: (772) 283-2020 | Florida Vision Institute Inc 1050 Se Monterey Rd, Ste 104, Stuart, FL 34994-4512 Ph: (772) 283-2020 |