Glendon William Smalley, MD | |
18 Erin Office Park, Dublin, GA 31021-2866 | |
(478) 272-5933 | |
(478) 272-4350 |
Full Name | Glendon William Smalley |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 18 Erin Office Park, Dublin, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285655506 | NPI | - | NPPES |
00329678A | Medicaid | GA | |
00329678D | Medicaid | GA | |
410010041 | Other | GA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 28892 (Georgia) | Primary |
Entity Name | Vidalia Eye Associates Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568483899 PECOS PAC ID: 4981688488 Enrollment ID: O20040614001037 |
Mailing Address | Practice Location Address |
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Glendon William Smalley, MD 18 Erin Office Park, Dublin, GA 31021-2866 Ph: (478) 272-5933 | Glendon William Smalley, MD 18 Erin Office Park, Dublin, GA 31021-2866 Ph: (478) 272-5933 |
Dr. James B. Craig, OD Ophthalmology Medicare: Medicare Enrolled Practice Location: 2032 Veterans Blvd, Dublin, GA 31021 Phone: 478-272-3445 Fax: 478-272-4802 | |
Dr. Thomas A Hawkins, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd Ste 18, Dublin, GA 31021 Phone: 478-272-5933 Fax: 478-272-4350 | |
James Young Jones, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 18 Erin Office Park, Dublin, GA 31021 Phone: 478-272-5933 Fax: 478-272-4350 | |
Dr. John Grady Williams, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 18 Erin Office Park, Dublin, GA 31021 Phone: 478-272-5933 Fax: 478-272-4350 | |
Randall Robert Ozment, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 18 Erin Office Park, Dublin, GA 31021 Phone: 478-272-5933 Fax: 478-272-4350 | |
Felicia Fountain, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2400 Bellevue Rd, 18 Erin Office Park, Dublin, GA 31021 Phone: 478-272-5933 |