| Jacksonville Eye Care | |
|
3332 Paper Mill Rd, Phoenix, MD 21131-1419 | |
| (410) 628-1510 | |
| Not Available |
| Full Name | Jacksonville Eye Care |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3332 Paper Mill Rd, Phoenix, Maryland |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346678240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | TA1372 (Maryland) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jacksonville Eye Care 3332 Paper Mill Rd, Phoenix, MD 21131-1419 Ph: (410) 628-1510 | Jacksonville Eye Care 3332 Paper Mill Rd, Phoenix, MD 21131-1419 Ph: (410) 628-1510 |
Dr. Barry M Weiner, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 3421 Sweet Air Rd, Phoenix, MD 21131 Phone: 410-628-1510 Fax: 410-666-5244 | |
Dr. Michael F Diffendall, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 Fax: 410-628-1511 | |
M. F. Diffendall Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 3332 Paper Mill Rd, Phoenix, MD 21131 Phone: 410-628-1510 |