Dr Charles David Richardson, MD | |
100 Hospital Dr W, Hattiesburg, MS 39402-1334 | |
(601) 268-5910 | |
(601) 264-0659 |
Full Name | Dr Charles David Richardson |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 42 Years |
Location | 100 Hospital Dr W, Hattiesburg, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568570117 | NPI | - | NPPES |
10012 | Other | MS | MEDICAL LICENSE |
00016828 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 10012 (Mississippi) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hattiesburg Eye Clinic, P.a. | 4587733829 | 10 |
Entity Name | Hattiesburg Eye Clinic, P.a. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922110949 PECOS PAC ID: 4587733829 Enrollment ID: O20080513000402 |
Mailing Address | Practice Location Address |
---|---|
Dr Charles David Richardson, MD 100 Hospital Dr W, Hattiesburg, MS 39402-1334 Ph: (601) 268-5910 | Dr Charles David Richardson, MD 100 Hospital Dr W, Hattiesburg, MS 39402-1334 Ph: (601) 268-5910 |
Mr. John Vernon Petro Jr., MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 102 E Hospital Dr, Hattiesburg, MS 39402 Phone: 601-268-5144 Fax: 601-268-5149 | |
Julie J Lynn, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 415 S 28th Ave, Hattiesburg, MS 39401 Phone: 601-579-5300 Fax: 601-579-5303 | |
Dr. Wright B Lauten, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 109 Millsaps Dr, Suite B, Hattiesburg, MS 39402 Phone: 601-255-0736 Fax: 601-255-0735 | |
Christopher L Cooley, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 7148 U S Highway 98, Suite 201, Hattiesburg, MS 39402 Phone: 601-271-2020 Fax: 601-264-2660 | |
Adam Ellington Quinn, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 100 Hospital Dr W, Hattiesburg, MS 39402 Phone: 601-268-5910 Fax: 601-264-0659 | |
Sean C Allison, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 109 Millsaps Dr Ste B, Hattiesburg, MS 39402 Phone: 601-255-0736 | |
Cole Mckee Richardson, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 109 Millsaps Dr, Hattiesburg, MS 39402 Phone: 601-818-2957 |