20-20 Eyecare Of Grenada Pa | |
600 Old Hickory Rd, Grenada, MS 38901-2727 | |
(662) 226-7010 | |
(662) 226-7027 |
Full Name | 20-20 Eyecare Of Grenada Pa |
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Type | Facility |
Speciality | Optometrist |
Location | 600 Old Hickory Rd, Grenada, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497025183 | NPI | - | NPPES |
00880101 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (Mississippi) | Primary |
Provider Name | Christopher T Walls |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215951314 PECOS PAC ID: 7517852650 Enrollment ID: I20040219000086 |
Provider Name | James M Pegg |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093167157 PECOS PAC ID: 7315232345 Enrollment ID: I20160830000224 |
Mailing Address | Practice Location Address |
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20-20 Eyecare Of Grenada Pa 600 Old Hickory Rd, Grenada, MS 38901-2727 Ph: (662) 226-7010 | 20-20 Eyecare Of Grenada Pa 600 Old Hickory Rd, Grenada, MS 38901-2727 Ph: (662) 226-7010 |
James Michael Pegg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Old Hickory Rd, Grenada, MS 38901 Phone: 662-229-6038 Fax: 662-226-7027 | |
Dr. Christopher Thomas Walls, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Old Hickory Rd, Grenada, MS 38901 Phone: 662-226-7010 Fax: 662-226-7027 | |
Dr. Carl J Marascalco, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Old Hickory Rd, Grenada, MS 38901 Phone: 662-226-7010 Fax: 662-226-7027 | |
Walls Vision Center Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1655 Sunset Dr, Grenada, MS 38901 Phone: 662-226-0042 Fax: 662-226-4696 | |
Dr. Lowell Wayne Taylor, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1655 Sunset Dr, Grenada, MS 38901 Phone: 662-226-0042 Fax: 662-226-4696 |