| Micah Ramon Girard, OD | |
|
1941 Michigan Ave, Cocoa, FL 32922-5728 | |
| (321) 638-3931 | |
| (321) 638-0788 |
| Full Name | Micah Ramon Girard |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 22 Years |
| Location | 1941 Michigan Ave, Cocoa, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285749911 | NPI | - | NPPES |
| 620988200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | FL3800 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aeg Florida Professional Pllc | 3870960032 | 49 |
| Provider Name | Visionary Optometry Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1508049925 PECOS PAC ID: 7911964457 Enrollment ID: O20041215001019 |
| Provider Name | Aeg Florida Professional Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1164156246 PECOS PAC ID: 3870960032 Enrollment ID: O20221101003017 |
| Mailing Address | Practice Location Address |
|---|---|
| Micah Ramon Girard, OD 1941 Michigan Ave, Cocoa, FL 32922-5728 Ph: (321) 638-3931 | Micah Ramon Girard, OD 1941 Michigan Ave, Cocoa, FL 32922-5728 Ph: (321) 638-3931 |
Howard B Bolos, Od Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 113 Maryland Ave, Cocoa, FL 32922 Phone: 321-636-4422 Fax: 321-632-9254 | |
Visionary Optometry Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1941 Michigan Ave, Cocoa, FL 32922 Phone: 321-638-3931 | |
Dr. Jennifer Tonnu Tonthat, O.D Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2700 Clearlake Rd, Cocoa, FL 32922 Phone: 321-631-0373 Fax: 321-631-0375 | |
Dr. Howard Bolos, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 113 Maryland Ave, Cocoa, FL 32922 Phone: 321-636-4422 Fax: 321-632-9254 |