Edwin Detweiler Iii is a Bradenton, Florida based male Optometrist with 19 years of experience in Optometry. He completed his graduation from Pennsylvania College Of Optometry in 2005. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Edwin Detweiler Iii is OPC4016 for Optometry in Florida. Edwin Detweiler Iii examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. He completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. He is a eye health care professional who is state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Complete Profile:
Edwin Detweiler Iii speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Optometry
Credentials:
O.D.
Experience:
19+ years
Medical School Attended:
Pennsylvania College Of Optometry
Graduation Year:
2005
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
6002 Pointe West Blvd, Bradenton, Florida, 34209-5531
Phone:
941-792-2020
Fax:
941-782-1089
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9739106543
Enrollment ID:
I20210310000922
NPI Number:
1154303923
NPI Enumeration Date:
17 Nov, 2005
NPI Last Update On:
12 Mar, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edwin Detweiler Iii are as mentioned below.
License Number
Specialization
State
Status
OPC4016
Optometry
Florida
Primary
Group Practice:
Group practices are run by a group of physicians who share their premises and other resources. Following list states all the group name
with which Edwin Detweiler Iii has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Madison Street Provider Network Inc (5193742948)
13
Other Medical Identifiers:
Other legacy medical identifiers associated with Edwin Detweiler Iii such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
621086400
Medicaid
Florida
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
6002 Pointe West Blvd, Bradenton, Florida
Zip:
34209-5531
Phone Number:
941-792-2020
Fax Number:
941-782-1089
Patients can reach Edwin Detweiler Iii at 6002 Pointe West Blvd, Bradenton, Florida or can call to book an appointment on 941-792-2020. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.