| Chanda W Wall Od Pa | |
|
8432 Lockwood Ridge Rd, Sarasota, FL 34243-2903 | |
| (941) 359-1105 | |
| Not Available |
| Full Name | Chanda W Wall Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8432 Lockwood Ridge Rd, Sarasota, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649486408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 3435 (Florida) | Primary |
| Provider Name | Chanda W Wall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1568685220 PECOS PAC ID: 7315967981 Enrollment ID: I20051129000694 |
| Provider Name | Jeannene L Dieter |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417955451 PECOS PAC ID: 1658567268 Enrollment ID: I20101122000893 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanda W Wall Od Pa 8432 Lockwood Ridge Rd, Sarasota, FL 34243-2903 Ph: (941) 359-1105 | Chanda W Wall Od Pa 8432 Lockwood Ridge Rd, Sarasota, FL 34243-2903 Ph: (941) 359-1105 |
Dr. Michael Casey Maloney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2601 S Tamiami Trl, Sarasota, FL 34239 Phone: 941-925-2020 Fax: 941-330-2200 | |
Dr. Susan M Sloan, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 S Orange Ave, Sarasota, FL 34236 Phone: 941-365-2040 Fax: 941-366-6480 | |
Trisha D. Werner, O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3633 Webber St, Sarasota, FL 34232 Phone: 941-923-4594 Fax: 941-923-4596 | |
Palm Coast Eye Center, P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3131 S Tamiami Trl, Suite 201, Sarasota, FL 34239 Phone: 941-954-2020 Fax: 941-953-3937 | |
Susan Sloan Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 500 S Orange Ave, Sarasota, FL 34236 Phone: 941-365-2060 Fax: 941-366-6480 | |
Paul A. Breault Od, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 891 S Tamiami Trl, Sarasota, FL 34236 Phone: 941-957-3319 | |
Scott Han, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2111 Bee Ridge Rd, Sarasota, FL 34239 Phone: 941-792-2020 |