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Organization

ANTHONY SCHAFFER OD MBA PL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. DENISE M MEILER (ACCOUNT REPRESENTATIVE)
(863) 471-1413
Entity
Organization

Contact information

Practice address
3525 US HIGHWAY 27 N, SEBRING, FL 33870-1640
(863) 471-1413
(863) 471-1416
Mailing address
3810 DIVOT RD, SEBRING, FL 33872-1276
(863) 471-1413
(863) 471-1416

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3395
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
366062820
CHAMPUS
FL
05
620922000
FL
01
68093Z
BCBS
FL
01
OPC3395
STATE LICENSE
FL
Enumeration date
10/15/2007
Last updated
10/16/2013
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