| Jack N Sperry Jr O.d. Pa | |
|
720 Lake Dora Dr, Tavares, FL 32778-3314 | |
| (352) 551-5612 | |
| Not Available |
| Full Name | Jack N Sperry Jr O.d. Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 720 Lake Dora Dr, Tavares, Florida |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609145507 | NPI | - | NPPES |
| 078942900 | Medicaid | FL | |
| 20357 | Other | FL | MEDICARE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC2330 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jack N Sperry Jr O.d. Pa 720 Lake Dora Dr, Tavares, FL 32778-3314 Ph: (352) 551-5612 | Jack N Sperry Jr O.d. Pa 720 Lake Dora Dr, Tavares, FL 32778-3314 Ph: (352) 551-5612 |
Donna Marie Hilgendorf, OD OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2519 Dora Ave, Tavares, FL 32778 Phone: 352-742-8008 Fax: 352-742-8008 | |
Eyemax Vision Center, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2146 Vindale Rd, Tavares, FL 32778 Phone: 352-401-1919 Fax: 352-401-3539 |