| Stuart Kent Harrell, OD | |
|
2004 Cr 540-a, Lakeland, FL 33813 | |
| (863) 294-3504 | |
| (866) 522-3607 |
| Full Name | Stuart Kent Harrell |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 36 Years |
| Location | 2004 Cr 540-a, Lakeland, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134212145 | NPI | - | NPPES |
| 621353700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC2359 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Anthony Schaffer Od Mba Pl | 7315023256 | 2 |
| Provider Name | Barry M Gaffney Od Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1962568451 PECOS PAC ID: 2264433937 Enrollment ID: O20070123000461 |
| Provider Name | Anthony Schaffer Od Mba Pl |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1750579850 PECOS PAC ID: 7315023256 Enrollment ID: O20080318000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Stuart Kent Harrell, OD 407 Avenue K Se, Winter Haven, FL 33880-4126 Ph: (863) 294-3504 | Stuart Kent Harrell, OD 2004 Cr 540-a, Lakeland, FL 33813 Ph: (863) 294-3504 |
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