Dr D J Belcher P a
Organization Active NPI Optometrist · Edgewater, FL
NPI 1821244047 · NPPES record last updated Aug 8, 2008
Key facts
- NPI
- 1821244047
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- OPC 3200 (FL)
- Legal business name
- DR D J BELCHER P A
- Practice address
- 2968 S Ridgewood Ave
Edgewater, FL 32141-7527 - Phone
- (386) 428-2088
- Fax
- (386) 428-6149
- NPI assigned
- Aug 8, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Donna J Belcher, O D
- Title
- Owner
- Phone
- (386) 428-2088
Practitioners 1
-
Donna J Belcher II, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20081024000268 | FL | Part B Supplier - Clinic/Group Practice | 7416015102 |
Receives reassigned benefits from 1 practitioner Practice locations: Edgewater, FL; Daytona Beach, FL |
National Provider Directory
Locations
2968 S Ridgewood Ave
Edgewater, FL 32141
Phone (386) 428-2088
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | OPC 3200 | FL | Yes |
| Eyewear Supplier | 332H00000X |
Addresses
Primary practice location
2968 S Ridgewood Ave
Edgewater, FL 32141-7527
Mailing address
2968 S Ridgewood Ave
Edgewater, FL 32141-7527
Phone (386) 428-2088
Other providers in Edgewater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.