| Mid Florida Eye Center Pa | |
|
17560 Us Highway 441, Mount Dora, FL 32757-6711 | |
| (352) 735-2020 | |
| Not Available |
| Full Name | Mid Florida Eye Center Pa |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 17560 Us Highway 441, Mount Dora, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710980883 | NPI | - | NPPES |
| 376541500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Raoul David Maizel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1831192954 PECOS PAC ID: 0749214104 Enrollment ID: I20051006000110 |
| Provider Name | Glenn D Pieschke |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639139439 PECOS PAC ID: 1850498759 Enrollment ID: I20070529000242 |
| Provider Name | Maricely Gonzalez Macion |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1609084730 PECOS PAC ID: 7517048648 Enrollment ID: I20080115000610 |
| Provider Name | Claudio A Ferreira |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548207426 PECOS PAC ID: 5991781098 Enrollment ID: I20100217000157 |
| Provider Name | Keith C. Charles |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255334389 PECOS PAC ID: 6103996889 Enrollment ID: I20100810000390 |
| Provider Name | Jeffrey D Baumann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1841293974 PECOS PAC ID: 9436163607 Enrollment ID: I20100813000524 |
| Provider Name | Gregory John Panzo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1457354573 PECOS PAC ID: 8820160781 Enrollment ID: I20100825000167 |
| Provider Name | Edyta H Weppelmann |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376142828 PECOS PAC ID: 8325450596 Enrollment ID: I20201211000421 |
| Provider Name | Daniel T Nolan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053781013 PECOS PAC ID: 3375847205 Enrollment ID: I20220802003587 |
| Provider Name | William Plum |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356731343 PECOS PAC ID: 2365791316 Enrollment ID: I20230520000064 |
| Provider Name | Thomas Alexander Weppelmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427686781 PECOS PAC ID: 8628510377 Enrollment ID: I20240610000729 |
| Provider Name | Caroline Vollberg Misch |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619585130 PECOS PAC ID: 4880094432 Enrollment ID: I20250611000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Mid Florida Eye Center Pa 17560 Highway 441, Mount Dora, FL 32757-6711 Ph: (352) 735-2020 | Mid Florida Eye Center Pa 17560 Us Highway 441, Mount Dora, FL 32757-6711 Ph: (352) 735-2020 |