| Landsaw O D P A | |
|
91284 Overseas Hwy, Tavernier, FL 33070-2555 | |
| (305) 853-3153 | |
| (305) 853-3152 |
| Full Name | Landsaw O D P A |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 91284 Overseas Hwy, Tavernier, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427254978 | NPI | - | NPPES |
| 620730800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (Florida) | Primary |
| Provider Name | Jannah Miller Landsaw |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568512911 PECOS PAC ID: 0042408643 Enrollment ID: I20101227000194 |
| Provider Name | Harry Landsaw |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306996756 PECOS PAC ID: 5395933998 Enrollment ID: I20101227000209 |
| Mailing Address | Practice Location Address |
|---|---|
| Landsaw O D P A 91284 Overseas Hwy, Tavernier, FL 33070-2555 Ph: (305) 853-3153 | Landsaw O D P A 91284 Overseas Hwy, Tavernier, FL 33070-2555 Ph: (305) 853-3153 |
Dr. Harry Wirick Landsaw, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 91284 Overseas Hwy, Tavernier, FL 33070 Phone: 305-853-3153 Fax: 305-853-3152 | |
Dr. Jannah Miller Landsaw, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 91284 Overseas Hwy, Tavernier, FL 33070 Phone: 305-853-3153 Fax: 305-853-3152 |