| Mrs Michelle M Hernandez, OD | |
|
2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 | |
| (727) 799-3772 | |
| (727) 791-6598 |
| Full Name | Mrs Michelle M Hernandez |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 34 Years |
| Location | 2560 Gulf To Bay Blvd, Clearwater, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396767208 | NPI | - | NPPES |
| 078935600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 2600 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Site Of Tampa Bay Pa | 3173522406 | 4 |
| Provider Name | Eye Site of Tampa Bay PA |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689773657 PECOS PAC ID: 3173522406 Enrollment ID: O20061213000398 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Michelle M Hernandez, OD 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 Ph: (727) 799-3772 | Mrs Michelle M Hernandez, OD 2560 Gulf To Bay Blvd, Suite 100, Clearwater, FL 33765-4421 Ph: (727) 799-3772 |
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