Individual
MARJORIE A METCALF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
213 S APOPKA AVE, INVERNESS, FL 34452-4802
(352) 344-2020
(352) 344-2137
Mailing address
213 S APOPKA AVE, INVERNESS, FL 34452-4802
(352) 344-2020
(352) 344-2137
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO4970
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D6171
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/21/2006
Last updated
04/15/2008
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