| American Eyecare Center Of Jesup Inc | |
|
198 Sw Broad St, Jesup, GA 31545-1101 | |
| (912) 530-6000 | |
| (912) 530-6044 |
| Full Name | American Eyecare Center Of Jesup Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 198 Sw Broad St, Jesup, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376610618 | NPI | - | NPPES |
| 00461876B | Medicaid | GA | |
| 00461876D | Medicaid | GA | |
| 410026823 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | James Derryl Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1427123405 PECOS PAC ID: 5294791703 Enrollment ID: I20050916000563 |
| Provider Name | Ryan Kwan |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871047613 PECOS PAC ID: 5496023673 Enrollment ID: I20170612001312 |
| Mailing Address | Practice Location Address |
|---|---|
| American Eyecare Center Of Jesup Inc 198 Sw Broad St, Jesup, GA 31545-1101 Ph: (912) 530-6000 | American Eyecare Center Of Jesup Inc 198 Sw Broad St, Jesup, GA 31545-1101 Ph: (912) 530-6000 |
Dr. Kreslyn Barron Odum, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 420 W Cherry St, Jesup, GA 31545 Phone: 478-553-0007 Fax: 478-552-6619 | |
Diane Bruce, OD Optometrist Medicare: Medicare Enrolled Practice Location: 198 Sw Broad St, Jesup, GA 31545 Phone: 912-530-6000 Fax: 912-530-6044 | |
Wayne Family Vision, P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 125 W Cherry St, Jesup, GA 31545 Phone: 912-427-7773 | |
Georgia Eye Institute Of The Southeast, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 198 Sw Broad St, Jesup, GA 31545 Phone: 912-352-7941 Fax: 912-352-7946 | |
Dr. James Derryl Thomas, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 198 Sw Broad St, Jesup, GA 31545 Phone: 912-530-6000 Fax: 912-530-6044 | |
Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 420 W Cherry St, Jesup, GA 31545 Phone: 478-553-0007 Fax: 478-552-6619 |