| Leann J Mandese Od Pa | |
|
2194 Highway A1a, Suite 109, Indian Harbour Beach, FL 32937-4930 | |
| (321) 777-1640 | |
| (321) 773-0187 |
| Full Name | Leann J Mandese Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2194 Highway A1a, Indian Harbour Beach, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548473887 | NPI | - | NPPES |
| TID | Other | FL | PRUDENTIAL |
| 590467269 | Other | FL | TRICARE |
| 20960 | Other | FL | BCBS |
| 3214353 | Other | FL | AETNA PPO |
| 7844091 | Other | FL | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OP3125 (Florida) | Primary |
| Provider Name | Leann J Mandese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740271642 PECOS PAC ID: 9133292600 Enrollment ID: I20080716000343 |
| Provider Name | Jush Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235707597 PECOS PAC ID: 1951794130 Enrollment ID: I20220210002747 |
| Mailing Address | Practice Location Address |
|---|---|
| Leann J Mandese Od Pa 2194 Highway A1a, Suite 109, Indian Harbour Beach, FL 32937-4930 Ph: (321) 777-1640 | Leann J Mandese Od Pa 2194 Highway A1a, Suite 109, Indian Harbour Beach, FL 32937-4930 Ph: (321) 777-1640 |
Dr. Alan H Miles, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2000 S Patrick Dr, Indian Harbour Beach, FL 32937 Phone: 321-777-1800 Fax: 321-777-7504 | |
Dr. Edward V Laibl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2194 Highway A1a, Suite 109, Indian Harbour Beach, FL 32937 Phone: 321-777-1670 Fax: 321-773-0187 | |
Alan H Miles Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2000 S Patrick Dr, Indian Harbour Beach, FL 32937 Phone: 321-777-1800 Fax: 321-777-7504 | |
Spectrum Vision Optometrist Medicare: Medicare Enrolled Practice Location: 2000 S Patrick Dr, Indian Harbour Beach, FL 32937 Phone: 321-777-1800 Fax: 321-777-7504 | |
Dr. Thomas Russell Reim, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2000 S Patrick Dr, Indian Harbour Beach, FL 32937 Phone: 321-777-1800 Fax: 321-777-7504 | |
Spectrum Vision Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2000 S Patrick Dr Ste 7, Indian Harbour Beach, FL 32937 Phone: 321-777-1800 Fax: 321-777-7504 |