Mr. Charles E Heacock is a Deland, Florida based male Optometrist with 39 years of experience in Optometry. He completed his graduation from Ohio State University - College Of Optometry in 1985. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Charles E Heacock is OP0002236 for Optometry in Florida. Mr. Charles E Heacock 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:
Mr. Charles E Heacock 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:
OD
Experience:
39+ years
Medical School Attended:
Ohio State University - College Of Optometry
Graduation Year:
1985
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
840 N Stone St, Deland, Florida, 32720-3256
Phone:
386-734-1766
Fax:
386-740-7866
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:
9436287083
Enrollment ID:
I20100514000128
NPI Number:
1942294905
NPI Enumeration Date:
07 Sep, 2005
NPI Last Update On:
27 Aug, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Charles E Heacock are as mentioned below.
License Number
Specialization
State
Status
OP0002236
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 Mr. Charles E Heacock has association with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Myeyedr Optometry Of Florida, Llc (0143541037)
86
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Charles E Heacock such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
078734500
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:
1950 Old Gallows Rd Ste 520, Vienna, Virginia
Zip:
22182-3970
Phone Number:
703-847-8899
Fax Number:
571-223-6780
Patients can reach Mr. Charles E Heacock at 840 N Stone St, Deland, Florida or can call to book an appointment on 386-734-1766. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.