| Myeyedr. | |
|
1480 Timberlane Rd, Tallahassee, FL 32312-1713 | |
| (850) 893-4005 | |
| (850) 893-9987 |
| Full Name | Myeyedr. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1480 Timberlane Rd, Tallahassee, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073907028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David R Ness |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346324308 PECOS PAC ID: 7618881616 Enrollment ID: I20031114000083 |
| Provider Name | Yaron Maya |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073566253 PECOS PAC ID: 1355247966 Enrollment ID: I20031216000212 |
| Provider Name | Arthur Adam Weinwurm |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831245323 PECOS PAC ID: 3072408392 Enrollment ID: I20040217000194 |
| Provider Name | Carlos R Villa |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942291901 PECOS PAC ID: 6406744598 Enrollment ID: I20040309001366 |
| Provider Name | Phillip L Stephens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851476956 PECOS PAC ID: 8123015005 Enrollment ID: I20040504001373 |
| Provider Name | Robert E Luckey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184744104 PECOS PAC ID: 4486637907 Enrollment ID: I20040610000273 |
| Provider Name | Robert S Webster |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306852355 PECOS PAC ID: 1759366404 Enrollment ID: I20040618000749 |
| Provider Name | Jennifer S Stanley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730181207 PECOS PAC ID: 5092791301 Enrollment ID: I20040628000555 |
| Provider Name | Mark J Sarno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861491144 PECOS PAC ID: 8426955626 Enrollment ID: I20040628000584 |
| Provider Name | Mark W Salta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295737989 PECOS PAC ID: 5597741819 Enrollment ID: I20040628000608 |
| Provider Name | Richard W Hernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952302648 PECOS PAC ID: 4082690318 Enrollment ID: I20040628000723 |
| Provider Name | Nicole Golding |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780615146 PECOS PAC ID: 5092794826 Enrollment ID: I20040719000264 |
| Provider Name | James W Watts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518919455 PECOS PAC ID: 2668452749 Enrollment ID: I20040721000336 |
| Provider Name | Stephen M Pullen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801853296 PECOS PAC ID: 5193705275 Enrollment ID: I20040728001187 |
| Provider Name | Brad R Salomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851385710 PECOS PAC ID: 8820995079 Enrollment ID: I20040928000080 |
| Provider Name | Neil Scott Gorman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578637310 PECOS PAC ID: 6507827342 Enrollment ID: I20041025000477 |
| Provider Name | Elizabeth P Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1295722908 PECOS PAC ID: 6507827367 Enrollment ID: I20041025000658 |
| Provider Name | Margaret M Harrington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093701518 PECOS PAC ID: 7315905593 Enrollment ID: I20041221000262 |
| Provider Name | Alan Shaffer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679576995 PECOS PAC ID: 8426006933 Enrollment ID: I20050111000358 |
| Provider Name | John K Fusselman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083711196 PECOS PAC ID: 4385693894 Enrollment ID: I20050121000266 |
| Provider Name | Clyde A Chapman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801833090 PECOS PAC ID: 5890733166 Enrollment ID: I20050419000330 |
| Provider Name | Scott M Pearl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467452474 PECOS PAC ID: 7618917303 Enrollment ID: I20050512000296 |
| Provider Name | Dusk J Falkner-martinez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639204589 PECOS PAC ID: 3072556919 Enrollment ID: I20050602000345 |
| Provider Name | Jee M Kanicky |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245296599 PECOS PAC ID: 8729985296 Enrollment ID: I20050630000709 |
| Provider Name | Thuy Lan D Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992805261 PECOS PAC ID: 0446280119 Enrollment ID: I20050813000011 |
| Provider Name | Gregory N Parrish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598759458 PECOS PAC ID: 6709810161 Enrollment ID: I20050924000189 |
| Provider Name | Barry M Kay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285619908 PECOS PAC ID: 3577589209 Enrollment ID: I20051021000148 |
| Provider Name | Francine J Verblow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497772230 PECOS PAC ID: 9335163492 Enrollment ID: I20060117000660 |
| Provider Name | James Berry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033390190 PECOS PAC ID: 8628084050 Enrollment ID: I20060222000659 |
| Provider Name | Michael L Hay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1770556888 PECOS PAC ID: 7810904414 Enrollment ID: I20060308000147 |
| Provider Name | Carol H Nason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700884103 PECOS PAC ID: 3173534864 Enrollment ID: I20060510000129 |
| Provider Name | Albert R Ducharme |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033151394 PECOS PAC ID: 2668485194 Enrollment ID: I20060728000158 |
| Provider Name | Anthony Favale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760459549 PECOS PAC ID: 7012919343 Enrollment ID: I20070215000183 |
| Provider Name | Julie Ann Beckwitt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437262953 PECOS PAC ID: 5597866681 Enrollment ID: I20070719000207 |
| Provider Name | Jeffrey R Timko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982743597 PECOS PAC ID: 1850483454 Enrollment ID: I20070828000397 |
| Provider Name | Michelle M Hebert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083824361 PECOS PAC ID: 1254425648 Enrollment ID: I20070917000009 |
| Provider Name | James A Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598759219 PECOS PAC ID: 2365349511 Enrollment ID: I20071212000628 |
| Provider Name | Teresa K Salomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891789517 PECOS PAC ID: 1052401171 Enrollment ID: I20071213000175 |
| Provider Name | Stephen F Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871587592 PECOS PAC ID: 7517057797 Enrollment ID: I20071213000224 |
| Provider Name | Hanaa M Habashi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619060696 PECOS PAC ID: 8426139007 Enrollment ID: I20080122000276 |
| Provider Name | Chequita Hilversum |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437148509 PECOS PAC ID: 6901985936 Enrollment ID: I20080502000104 |
| Provider Name | Jon S Jacobs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376535948 PECOS PAC ID: 2860562485 Enrollment ID: I20080609000134 |
| Provider Name | Nevin M Sarno |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922045384 PECOS PAC ID: 0345313771 Enrollment ID: I20080718000202 |
| Provider Name | Erin A Weston |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437330578 PECOS PAC ID: 0345314209 Enrollment ID: I20080811000622 |
| Provider Name | Shannon L W Clark Leitenbauer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1760401632 PECOS PAC ID: 7517057854 Enrollment ID: I20080920000065 |
| Provider Name | Amber Aria |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568610087 PECOS PAC ID: 1355409236 Enrollment ID: I20081021000759 |
| Provider Name | Riz J Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194735837 PECOS PAC ID: 5597820803 Enrollment ID: I20090220000441 |
| Provider Name | Sanford L Kaufman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336234731 PECOS PAC ID: 8527125137 Enrollment ID: I20090326000390 |
| Provider Name | James C Lanier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538100607 PECOS PAC ID: 9335293059 Enrollment ID: I20090814000557 |
| Provider Name | Ellen Rogers Wagner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316987753 PECOS PAC ID: 1951455542 Enrollment ID: I20090817000433 |
| Provider Name | Margaret A Allen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053343269 PECOS PAC ID: 6507906864 Enrollment ID: I20091216000635 |
| Provider Name | Bradley Kirchner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710026653 PECOS PAC ID: 4183710775 Enrollment ID: I20100122000774 |
| Provider Name | James Brauss |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730189150 PECOS PAC ID: 7214072412 Enrollment ID: I20100226000297 |
| Provider Name | Frank Houser |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366435604 PECOS PAC ID: 0840326682 Enrollment ID: I20100331000225 |
| Provider Name | Robert R Assantes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013078575 PECOS PAC ID: 2163466285 Enrollment ID: I20100430000505 |
| Provider Name | Charles Edwin Heacock |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942294905 PECOS PAC ID: 9436287083 Enrollment ID: I20100514000128 |
| Provider Name | Jeffrey L Timko |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013901073 PECOS PAC ID: 3173590494 Enrollment ID: I20100525000196 |
| Provider Name | Karen Detwiler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700853033 PECOS PAC ID: 2163552662 Enrollment ID: I20100609000989 |
| Provider Name | Amy M Stephens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598825184 PECOS PAC ID: 6204909625 Enrollment ID: I20100615000713 |
| Provider Name | Dennis Emery Wilcoxon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932105178 PECOS PAC ID: 1850462326 Enrollment ID: I20100811000271 |
| Provider Name | Edwin N Anguas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316968233 PECOS PAC ID: 8921132465 Enrollment ID: I20100818001396 |
| Provider Name | Willard Cail Pearce |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386832905 PECOS PAC ID: 8527182898 Enrollment ID: I20100824000940 |
| Provider Name | Julie Lynn Owens |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750364063 PECOS PAC ID: 5294921417 Enrollment ID: I20101130000218 |
| Provider Name | Gerard Joseph Balski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700085743 PECOS PAC ID: 5193803047 Enrollment ID: I20101201000862 |
| Provider Name | Brian R Atkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184637001 PECOS PAC ID: 2264629500 Enrollment ID: I20101213000205 |
| Provider Name | Neil Gary Elliot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538246111 PECOS PAC ID: 9234252255 Enrollment ID: I20110118000738 |
| Provider Name | Frank Donald Hurd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336266154 PECOS PAC ID: 6709910961 Enrollment ID: I20110202000052 |
| Provider Name | Roxanne Buffano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275765265 PECOS PAC ID: 6103007562 Enrollment ID: I20110218000433 |
| Provider Name | Steven Mark Anhalt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306985916 PECOS PAC ID: 7517155252 Enrollment ID: I20110221000611 |
| Provider Name | Manish C Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1437121001 PECOS PAC ID: 1759565898 Enrollment ID: I20110413000984 |
| Provider Name | William G Leffler Jr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245374370 PECOS PAC ID: 9234315201 Enrollment ID: I20110510000189 |
| Provider Name | Deborah L Haas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073658654 PECOS PAC ID: 0143406116 Enrollment ID: I20110510000204 |
| Provider Name | Jesse B Kershner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659687069 PECOS PAC ID: 8729256631 Enrollment ID: I20110720000546 |
| Provider Name | Garry Thomas Chrycy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902965254 PECOS PAC ID: 6305014739 Enrollment ID: I20110729000277 |
| Provider Name | Pauline Thai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871808097 PECOS PAC ID: 3375712870 Enrollment ID: I20110817000415 |
| Provider Name | Matthew D Helsing |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972883981 PECOS PAC ID: 4486825379 Enrollment ID: I20110926000776 |
| Provider Name | Chantal Mccarron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205906104 PECOS PAC ID: 2860557303 Enrollment ID: I20120123000458 |
| Provider Name | Sagar Amin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265715783 PECOS PAC ID: 2466617980 Enrollment ID: I20120709000527 |
| Provider Name | Carli A Ruckman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891075578 PECOS PAC ID: 4880850155 Enrollment ID: I20120801000232 |
| Provider Name | David Lee Popper |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386766384 PECOS PAC ID: 4789833328 Enrollment ID: I20120926000022 |
| Provider Name | Michele Mclin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1407103542 PECOS PAC ID: 0941459143 Enrollment ID: I20121003000562 |
| Provider Name | Mary I Armanious |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104174564 PECOS PAC ID: 9335399773 Enrollment ID: I20121022000227 |
| Provider Name | Harry D Weinstein |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568540870 PECOS PAC ID: 0345480646 Enrollment ID: I20130710000442 |
| Provider Name | Thanh Thao Ho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336404342 PECOS PAC ID: 6406097963 Enrollment ID: I20130725000297 |
| Provider Name | Binal Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790036325 PECOS PAC ID: 1456595271 Enrollment ID: I20130918000260 |
| Provider Name | Robert H Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992907638 PECOS PAC ID: 6406081462 Enrollment ID: I20131028001871 |
| Provider Name | Anna Kauderman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1851726384 PECOS PAC ID: 3274769492 Enrollment ID: I20131118001655 |
| Provider Name | Kellie Bassion |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861826679 PECOS PAC ID: 4587890843 Enrollment ID: I20131218001497 |
| Provider Name | David J Mccoy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982797569 PECOS PAC ID: 9335377811 Enrollment ID: I20140107001027 |
| Provider Name | Katie M Salomon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154739852 PECOS PAC ID: 4385863794 Enrollment ID: I20140917002030 |
| Provider Name | Douglas Wright |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871902437 PECOS PAC ID: 3779806153 Enrollment ID: I20141217000497 |
| Provider Name | Audrey E Lyons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710060405 PECOS PAC ID: 0547422099 Enrollment ID: I20141229002214 |
| Provider Name | Sheryl Reaves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023301280 PECOS PAC ID: 7315194826 Enrollment ID: I20150213000305 |
| Provider Name | Brian Peterson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1477987741 PECOS PAC ID: 4880909324 Enrollment ID: I20150813009811 |
| Provider Name | Kimberly M Chaney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427362359 PECOS PAC ID: 9830319367 Enrollment ID: I20150916001481 |
| Provider Name | Deepa V Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366825176 PECOS PAC ID: 0749590222 Enrollment ID: I20151112002664 |
| Provider Name | Stephanie D'orazio-brafman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811372279 PECOS PAC ID: 6406156678 Enrollment ID: I20151120000823 |
| Provider Name | Allen Taylor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245420462 PECOS PAC ID: 5890876528 Enrollment ID: I20151130000716 |
| Provider Name | Brett D O'connor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801242128 PECOS PAC ID: 3779876487 Enrollment ID: I20160718002168 |
| Provider Name | Craig Hossenlopp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346618311 PECOS PAC ID: 3375846769 Enrollment ID: I20160722000654 |
| Provider Name | Nicola J Granger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619350022 PECOS PAC ID: 3779877220 Enrollment ID: I20160808000305 |
| Provider Name | Yasmeen Awada |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861875510 PECOS PAC ID: 8022303775 Enrollment ID: I20160819002318 |
| Provider Name | Tonya Kohler |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568755361 PECOS PAC ID: 8527353614 Enrollment ID: I20160829002875 |
| Provider Name | Tisha Cabatana |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538544333 PECOS PAC ID: 6709164890 Enrollment ID: I20161024002817 |
| Provider Name | Jenna Elizabeth Rogers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114302346 PECOS PAC ID: 8224316757 Enrollment ID: I20161103000548 |
| Provider Name | Joseph P Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891148268 PECOS PAC ID: 9335421650 Enrollment ID: I20170123000953 |
| Provider Name | Ornella Aluwiesi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154662427 PECOS PAC ID: 9335383983 Enrollment ID: I20170411002516 |
| Provider Name | Jeffrey Hilowitz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467603258 PECOS PAC ID: 8426245648 Enrollment ID: I20170509002575 |
| Provider Name | Keion K Mark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962841072 PECOS PAC ID: 8022243344 Enrollment ID: I20170605001055 |
| Provider Name | William R Roberts |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619327905 PECOS PAC ID: 2769750827 Enrollment ID: I20170613001872 |
| Provider Name | Matthew Timothy Biedron |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346618956 PECOS PAC ID: 4385912849 Enrollment ID: I20170626000710 |
| Provider Name | Alexander Garibay |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689102337 PECOS PAC ID: 3173895620 Enrollment ID: I20170818001413 |
| Provider Name | Marielle Alcantara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336590033 PECOS PAC ID: 1850665985 Enrollment ID: I20170927004119 |
| Provider Name | Vi Thao Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346760204 PECOS PAC ID: 8022383710 Enrollment ID: I20171005001692 |
| Provider Name | Laura Jankiprasad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1073048385 PECOS PAC ID: 9830455138 Enrollment ID: I20171101003326 |
| Provider Name | William Douglas Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538401476 PECOS PAC ID: 7012135387 Enrollment ID: I20171204002513 |
| Provider Name | Jocelie Almorado |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457863870 PECOS PAC ID: 7517227580 Enrollment ID: I20180213000354 |
| Provider Name | Jessy Ung |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639697584 PECOS PAC ID: 3375890163 Enrollment ID: I20180725001801 |
| Provider Name | Pamela J Bingham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255441366 PECOS PAC ID: 6204186497 Enrollment ID: I20180910001694 |
| Provider Name | Scott Mckim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356335319 PECOS PAC ID: 0840541199 Enrollment ID: I20180925003558 |
| Provider Name | Swati Kumar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922583665 PECOS PAC ID: 1153675541 Enrollment ID: I20181121002716 |
| Provider Name | Jennifer Tai |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164803896 PECOS PAC ID: 7214213578 Enrollment ID: I20181212000050 |
| Provider Name | Marca Renee Hobbs |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689151763 PECOS PAC ID: 4284978651 Enrollment ID: I20181212001236 |
| Provider Name | Luis Calderon Ramirez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1578916011 PECOS PAC ID: 2860730496 Enrollment ID: I20190206002619 |
| Provider Name | Thuy-nga Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558746511 PECOS PAC ID: 3072813567 Enrollment ID: I20190517002154 |
| Provider Name | Anjali Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467018754 PECOS PAC ID: 2860726312 Enrollment ID: I20190703000547 |
| Provider Name | Umar Talal Ahmed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558857771 PECOS PAC ID: 3274860937 Enrollment ID: I20190805000757 |
| Provider Name | Monica Vieth Munoz |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356908115 PECOS PAC ID: 0547597023 Enrollment ID: I20190806002708 |
| Provider Name | Justin Burtner |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891159356 PECOS PAC ID: 2961701693 Enrollment ID: I20200106001715 |
| Provider Name | Ashley Rodgers |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801365945 PECOS PAC ID: 7911245519 Enrollment ID: I20200323003431 |
| Provider Name | Robert S Sharek |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255445912 PECOS PAC ID: 2365745114 Enrollment ID: I20200324000758 |
| Provider Name | Randa Edelbi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710546452 PECOS PAC ID: 0648502724 Enrollment ID: I20200407002770 |
| Provider Name | Amy Ruzicka |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508368556 PECOS PAC ID: 8022372887 Enrollment ID: I20200511001157 |
| Provider Name | Angeline Simeus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689160350 PECOS PAC ID: 5496005357 Enrollment ID: I20200617001066 |
| Provider Name | Alexandra Vlad |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1710447917 PECOS PAC ID: 3870915705 Enrollment ID: I20200623002759 |
| Provider Name | Stephanie Dodd Minerella |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1528684453 PECOS PAC ID: 2163844861 Enrollment ID: I20200625003169 |
| Provider Name | Faiza Javed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285115659 PECOS PAC ID: 5799109328 Enrollment ID: I20200715003399 |
| Provider Name | Michelle Anne Espanto |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972126548 PECOS PAC ID: 5496179152 Enrollment ID: I20200728001696 |
| Provider Name | Stephen John Haidet |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972162345 PECOS PAC ID: 8224453014 Enrollment ID: I20200811001406 |
| Provider Name | Hafsa Mohiuddin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831751577 PECOS PAC ID: 5496172215 Enrollment ID: I20200825002730 |
| Provider Name | Anacristina Petrovich |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740805076 PECOS PAC ID: 3971921180 Enrollment ID: I20200918001731 |
| Provider Name | Dieu Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720602634 PECOS PAC ID: 5395164461 Enrollment ID: I20200923002915 |
| Provider Name | Tiffanie Crisi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679199822 PECOS PAC ID: 2668892829 Enrollment ID: I20201009000873 |
| Provider Name | Sasha Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1275157570 PECOS PAC ID: 1759791494 Enrollment ID: I20201109000027 |
| Provider Name | Trenisha Ashley Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518560382 PECOS PAC ID: 5991117152 Enrollment ID: I20201210002971 |
| Provider Name | Angelica Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104418490 PECOS PAC ID: 9234545583 Enrollment ID: I20210310002695 |
| Provider Name | Crystal Kaye Victor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124645056 PECOS PAC ID: 6103234471 Enrollment ID: I20210427000242 |
| Provider Name | Belinda Warren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629639067 PECOS PAC ID: 8921337494 Enrollment ID: I20210429000282 |
| Provider Name | Alberta Dagobert |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982197687 PECOS PAC ID: 8123427325 Enrollment ID: I20210520000331 |
| Provider Name | Katherine Mccracken |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639731185 PECOS PAC ID: 9436489663 Enrollment ID: I20210702000979 |
| Provider Name | Sarbjit Mehmi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780250266 PECOS PAC ID: 4284036401 Enrollment ID: I20210712000799 |
| Provider Name | Leslie Somohano |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336707082 PECOS PAC ID: 8426388109 Enrollment ID: I20210810001927 |
| Provider Name | Jade Isabella Fungquee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043882541 PECOS PAC ID: 5294130241 Enrollment ID: I20210830000794 |
| Provider Name | Elizabeth Xavier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679027544 PECOS PAC ID: 9133407059 Enrollment ID: I20210830001223 |
| Provider Name | Allison Larue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932620978 PECOS PAC ID: 7012313422 Enrollment ID: I20210910000905 |
| Provider Name | Antonio Campbell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912107905 PECOS PAC ID: 5698926012 Enrollment ID: I20210910002979 |
| Provider Name | Candace Christen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811036056 PECOS PAC ID: 6204886427 Enrollment ID: I20210913003439 |
| Provider Name | Faryal Azam |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538416698 PECOS PAC ID: 5395012728 Enrollment ID: I20210914003829 |
| Provider Name | Claudine Jackson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659388114 PECOS PAC ID: 9931537776 Enrollment ID: I20210916001172 |
| Provider Name | Theresa Wang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881021186 PECOS PAC ID: 2163746397 Enrollment ID: I20210917002272 |
| Provider Name | Allen Koichi Tomoeda |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447234661 PECOS PAC ID: 3375709322 Enrollment ID: I20210917002855 |
| Provider Name | Tiffany Marcoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083182950 PECOS PAC ID: 8921347303 Enrollment ID: I20210917002955 |
| Provider Name | Pamela Marie Marzec |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134472996 PECOS PAC ID: 5092958942 Enrollment ID: I20210917002960 |
| Provider Name | Puja Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1174936876 PECOS PAC ID: 8921225640 Enrollment ID: I20210920000287 |
| Provider Name | Bradley Habermehl |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356375463 PECOS PAC ID: 2365443314 Enrollment ID: I20210920001128 |
| Provider Name | Richard E Sofinski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184847386 PECOS PAC ID: 9436333515 Enrollment ID: I20210920001470 |
| Provider Name | Eileen Marie Walsh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598731341 PECOS PAC ID: 4082808159 Enrollment ID: I20210920002022 |
| Provider Name | Teresa Pham |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1376685966 PECOS PAC ID: 7214249309 Enrollment ID: I20210921000238 |
| Provider Name | Elzie Chan-englender |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508860065 PECOS PAC ID: 9931005543 Enrollment ID: I20210921003830 |
| Provider Name | Jacqueline Evans |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053726315 PECOS PAC ID: 4587997473 Enrollment ID: I20210923000692 |
| Provider Name | Christine Kantor |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235145764 PECOS PAC ID: 6103821921 Enrollment ID: I20210924001298 |
| Provider Name | Marsha Fried |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164571675 PECOS PAC ID: 3678814803 Enrollment ID: I20210929000064 |
| Provider Name | Celesta Ribas Ferreira |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518407535 PECOS PAC ID: 6608136023 Enrollment ID: I20210929002385 |
| Provider Name | Karen Mohar Sanghera |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467884817 PECOS PAC ID: 0446477798 Enrollment ID: I20211011000957 |
| Provider Name | Deanna Ippolito |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1225683121 PECOS PAC ID: 8426388257 Enrollment ID: I20211012003539 |
| Provider Name | My Phuong Bui |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831544295 PECOS PAC ID: 0840586400 Enrollment ID: I20211013002550 |
| Provider Name | Mayisha Ahsan-khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518552041 PECOS PAC ID: 6901204379 Enrollment ID: I20211015000640 |
| Provider Name | Michelle Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1346389459 PECOS PAC ID: 5294763496 Enrollment ID: I20211020001891 |
| Provider Name | Fatima Karim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538545611 PECOS PAC ID: 1850641333 Enrollment ID: I20211103000149 |
| Provider Name | Helen Newton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568567394 PECOS PAC ID: 4880726066 Enrollment ID: I20211108002749 |
| Provider Name | Samuel Cox |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972608974 PECOS PAC ID: 2264524503 Enrollment ID: I20211110001313 |
| Provider Name | James Ross |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518016716 PECOS PAC ID: 0244132595 Enrollment ID: I20211129000829 |
| Provider Name | Stephanie Corbin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124545603 PECOS PAC ID: 6406113760 Enrollment ID: I20211202003042 |
| Provider Name | Todd Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831202076 PECOS PAC ID: 5597785790 Enrollment ID: I20211208001478 |
| Provider Name | Michael Miyashiro |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699868844 PECOS PAC ID: 9133018930 Enrollment ID: I20220104002562 |
| Provider Name | Fatima Bukhari |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790019743 PECOS PAC ID: 0648319715 Enrollment ID: I20220106000741 |
| Provider Name | Saher Sayed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1538610100 PECOS PAC ID: 5092074609 Enrollment ID: I20220112000650 |
| Provider Name | Saadi Darvish |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003822834 PECOS PAC ID: 4688847478 Enrollment ID: I20220112000747 |
| Provider Name | Jush Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235707597 PECOS PAC ID: 1951794130 Enrollment ID: I20220210002747 |
| Provider Name | Anita Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306420161 PECOS PAC ID: 9638565757 Enrollment ID: I20220329002148 |
| Provider Name | Mark Morreale |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1043569585 PECOS PAC ID: 7012267248 Enrollment ID: I20220526000558 |
| Provider Name | Gabbriell Vidya Ragbirsingh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831609346 PECOS PAC ID: 7911385018 Enrollment ID: I20220601002621 |
| Provider Name | Kelsey Palmer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992462725 PECOS PAC ID: 8820484694 Enrollment ID: I20220602002418 |
| Provider Name | Veronica Janette Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619642808 PECOS PAC ID: 3678951332 Enrollment ID: I20220608002015 |
| Provider Name | Jeanine Graves |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1205998234 PECOS PAC ID: 6507911179 Enrollment ID: I20220614000020 |
| Provider Name | Cassandra Lappegaard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962742627 PECOS PAC ID: 3779727995 Enrollment ID: I20220705000633 |
| Provider Name | Cheri J Glaus |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487677423 PECOS PAC ID: 0042297178 Enrollment ID: I20220705003202 |
| Provider Name | Roxanne Nicole Guerndt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568109874 PECOS PAC ID: 9133509342 Enrollment ID: I20220706001756 |
| Provider Name | Lee Tran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235886383 PECOS PAC ID: 4082094925 Enrollment ID: I20220708002209 |
| Provider Name | Michael Phillips |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811993694 PECOS PAC ID: 5890828727 Enrollment ID: I20220711000522 |
| Provider Name | Rachel Escobio Roche |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700522406 PECOS PAC ID: 7517348295 Enrollment ID: I20220713002015 |
| Provider Name | Magdalena Fuentes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932617909 PECOS PAC ID: 3173864428 Enrollment ID: I20220719000485 |
| Provider Name | Melissa C Gray |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790424935 PECOS PAC ID: 9739560665 Enrollment ID: I20220722001742 |
| Provider Name | Kimberly Anne Caracci |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649917899 PECOS PAC ID: 3375926264 Enrollment ID: I20220810000104 |
| Provider Name | Dana Hobi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619590403 PECOS PAC ID: 3779966551 Enrollment ID: I20220811000091 |
| Provider Name | Darshita Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588952576 PECOS PAC ID: 1951572858 Enrollment ID: I20220812001293 |
| Provider Name | Harjas S Aulakh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386261964 PECOS PAC ID: 3375928427 Enrollment ID: I20220910000162 |
| Provider Name | Nayab Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1942782321 PECOS PAC ID: 0547512030 Enrollment ID: I20220913001120 |
| Provider Name | Jennifer Gipp |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154520666 PECOS PAC ID: 8729189899 Enrollment ID: I20220916000226 |
| Provider Name | Carlos Liranzo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366019754 PECOS PAC ID: 2860877065 Enrollment ID: I20220923000018 |
| Provider Name | Lori Rothman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326164583 PECOS PAC ID: 1052417003 Enrollment ID: I20220927003990 |
| Provider Name | Jesse Fertig |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366557738 PECOS PAC ID: 9739087164 Enrollment ID: I20220928003461 |
| Provider Name | Vrajika Patel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588282156 PECOS PAC ID: 7315362217 Enrollment ID: I20220928003808 |
| Provider Name | Tania Malara |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003966839 PECOS PAC ID: 6507965589 Enrollment ID: I20221010000885 |
| Provider Name | Danielle Riili-mazniker Md |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326541921 PECOS PAC ID: 3678816634 Enrollment ID: I20221027002817 |
| Provider Name | Alexia Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265107213 PECOS PAC ID: 9436554961 Enrollment ID: I20221123001841 |
| Provider Name | Brian Lewy |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750379087 PECOS PAC ID: 5597089011 Enrollment ID: I20221219002675 |
| Provider Name | Hiba Khalil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427629625 PECOS PAC ID: 1759751753 Enrollment ID: I20230109002559 |
| Provider Name | Gregory Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821023839 PECOS PAC ID: 5395847578 Enrollment ID: I20230125001290 |
| Provider Name | Chris Stecy Garcia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1649843988 PECOS PAC ID: 0345647541 Enrollment ID: I20230218000177 |
| Provider Name | Douglas Herriott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700885860 PECOS PAC ID: 4486793072 Enrollment ID: I20230324001000 |
| Provider Name | Jacob Mittelstaedt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861062176 PECOS PAC ID: 8527462696 Enrollment ID: I20230324001286 |
| Provider Name | Peter Edward Carra |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417148255 PECOS PAC ID: 3173885308 Enrollment ID: I20230421001496 |
| Provider Name | Rovetta Mattia |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1366497661 PECOS PAC ID: 7416969555 Enrollment ID: I20230502000632 |
| Provider Name | Dao Nguyen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962117945 PECOS PAC ID: 3577928050 Enrollment ID: I20230505001800 |
| Provider Name | Mila Stoparic |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1902320609 PECOS PAC ID: 0345606786 Enrollment ID: I20230512002557 |
| Provider Name | Crystal Edison |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1386953461 PECOS PAC ID: 0143458638 Enrollment ID: I20230523003532 |
| Provider Name | Colin Milo |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962195768 PECOS PAC ID: 1254790561 Enrollment ID: I20230705002410 |
| Provider Name | Nikki Gonzalez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831835289 PECOS PAC ID: 2668853730 Enrollment ID: I20230706003910 |
| Provider Name | Clayton Boyd |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720463698 PECOS PAC ID: 9436466901 Enrollment ID: I20230804001033 |
| Provider Name | Darah Newell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467761544 PECOS PAC ID: 2567684038 Enrollment ID: I20230821000388 |
| Provider Name | Ogechi Ukegbu |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750687562 PECOS PAC ID: 4082887674 Enrollment ID: I20230822000063 |
| Provider Name | Candice Moore |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1629555131 PECOS PAC ID: 6800221870 Enrollment ID: I20230822002117 |
| Provider Name | Simran Sethi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912361544 PECOS PAC ID: 4981999224 Enrollment ID: I20230823002705 |
| Provider Name | Sierra Logan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831877406 PECOS PAC ID: 1951764422 Enrollment ID: I20230831000124 |
| Provider Name | Stefanie Rae Fernandez |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336838630 PECOS PAC ID: 5799139507 Enrollment ID: I20230928000123 |
| Provider Name | Marissa Anandi Imrit |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891412847 PECOS PAC ID: 5991159402 Enrollment ID: I20231002001258 |
| Provider Name | Mariya Skreydel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255851721 PECOS PAC ID: 2961776208 Enrollment ID: I20231023002498 |
| Provider Name | Mehak Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427563683 PECOS PAC ID: 6305213661 Enrollment ID: I20231023003623 |
| Provider Name | Joseph Darazi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265125017 PECOS PAC ID: 4082060249 Enrollment ID: I20231024001547 |
| Provider Name | Tesia Reed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104388800 PECOS PAC ID: 4981023124 Enrollment ID: I20231031001306 |
| Provider Name | Husna Sayeed |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679354427 PECOS PAC ID: 5395192975 Enrollment ID: I20231104000115 |
| Provider Name | Angelina Gavel-rukha |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992357560 PECOS PAC ID: 4981932803 Enrollment ID: I20231116002609 |
| Provider Name | Jacqueline Vanessa Escobar |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033990080 PECOS PAC ID: 3375991516 Enrollment ID: I20231128002374 |
| Provider Name | Kori Watkins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1447994983 PECOS PAC ID: 0143604454 Enrollment ID: I20231211003691 |
| Provider Name | Mehak Khan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104563857 PECOS PAC ID: 0749630416 Enrollment ID: I20231220003323 |
| Provider Name | Amber Wiggins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104551746 PECOS PAC ID: 6901274463 Enrollment ID: I20240105002305 |
| Provider Name | Michael Gitchel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033412341 PECOS PAC ID: 4183006521 Enrollment ID: I20240116001501 |
| Provider Name | Jack Fried |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952391708 PECOS PAC ID: 6406920404 Enrollment ID: I20240118000585 |
| Mailing Address | Practice Location Address |
|---|---|
| Myeyedr. 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Myeyedr. 1480 Timberlane Rd, Tallahassee, FL 32312-1713 Ph: (850) 893-4005 |
Dr. Megan Wohlers, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1535 Centerville Rd, Tallahassee, FL 32308 Phone: 850-877-0961 | |
Todd Clayton Mcwilliams, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2140 Centerville Pl, Tallahassee, FL 32308 Phone: 850-383-3322 | |
Big Bend Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 1394 Timberlane Rd, Tallahassee, FL 32312 Phone: 850-491-0107 Fax: 850-219-0077 | |
Carol Ann Ebert-gorb, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1500 Apalachee Pkwy, Tallahassee, FL 32301 Phone: 850-656-8980 Fax: 580-656-8980 | |
Richard D Hamilton Od Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2724 Capital Cir Ne, #1, Tallahassee, FL 32308 Phone: 850-385-4444 Fax: 850-386-5383 | |
Rebecca Lassley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2858 Mahan Dr., Suite 4, Tallahassee, FL 32308 Phone: 850-216-2020 |