Individual
PHILLIP J. MACKINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
(386) 734-2939
Mailing address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
(386) 734-2939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3140
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20841
BCBS
FL
01
—
410040684
MEDICARE RR
FL
01
—
E0073Z
MEDICARE
FL
Enumeration date
08/22/2005
Last updated
07/30/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us