| J.s. Davis L.l.c. | |
|
2660 Sw Immanuel Dr, Palm City, FL 34990-2738 | |
| (772) 283-1191 | |
| (772) 283-4899 |
| Full Name | J.s. Davis L.l.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2660 Sw Immanuel Dr, Palm City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568977841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC5367 (Florida) | Primary |
| Provider Name | Kelly J Waddell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881889251 PECOS PAC ID: 3678640232 Enrollment ID: I20080923000661 |
| Provider Name | Jessica Lund |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881047348 PECOS PAC ID: 1658658869 Enrollment ID: I20170425002655 |
| Provider Name | Jason S Davis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1801321120 PECOS PAC ID: 0648538363 Enrollment ID: I20171229000064 |
| Mailing Address | Practice Location Address |
|---|---|
| J.s. Davis L.l.c. 2660 Sw Immanuel Dr, Palm City, FL 34990-2738 Ph: (772) 283-1191 | J.s. Davis L.l.c. 2660 Sw Immanuel Dr, Palm City, FL 34990-2738 Ph: (772) 283-1191 |
Stephen B Allison Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2660 Sw Immanuel Dr, Palm City, FL 34990 Phone: 772-283-1191 Fax: 772-283-4899 | |
Dr. Tatiana Sophia Mastriano, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2660 Sw Immanuel Dr, Palm City, FL 34990 Phone: 772-283-1191 | |
Dr. Jason Davis, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2660 Sw Immanuel Dr, Palm City, FL 34990 Phone: 772-283-1191 Fax: 772-283-4899 | |
Dr Miller& Associates Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3188 Sw Martin Downs Blvd Unit 22, Palm City, FL 34990 Phone: 561-745-6463 Fax: 561-748-3001 | |
Dr. Jessica Lynn Lund, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1459 Sw Seahawk Way, Palm City, FL 34990 Phone: 561-827-8865 | |
Dr. Stephen B Allison, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2660 Sw Immanuel Dr, Palm City, FL 34990 Phone: 772-283-1191 Fax: 772-283-4899 |