Provider Demographics
NPI:1376594689
Name:LALONDE, VICTORIA C (OD)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:C
Last Name:LALONDE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:VICTORIA
Other - Middle Name:C
Other - Last Name:DIXON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:502 E. NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-5427
Mailing Address - Country:US
Mailing Address - Phone:321-727-2020
Mailing Address - Fax:321-984-9547
Practice Address - Street 1:502 E. NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-5427
Practice Address - Country:US
Practice Address - Phone:321-727-2020
Practice Address - Fax:321-984-9547
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3306152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5303747OtherAETNA PPO
FL20953OtherBLUE CROSS / BLUE SHIELD
FL410046108OtherMEDICARE RAILROAD
FL620432500Medicaid
FL2698680OtherAETNA HMO
FLU73866Medicare UPIN
FL410046108OtherMEDICARE RAILROAD