Bonnie E Mallard, OD | |
1415 7th St S, Clanton, AL 35045-3746 | |
(205) 755-7114 | |
(205) 755-8142 |
Full Name | Bonnie E Mallard |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 19 Years |
Location | 1415 7th St S, Clanton, Alabama |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407849318 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S-BO9-TA-693 (Alabama) | Primary |
Provider Name | Mallard Eyecare, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1942529292 PECOS PAC ID: 5991991226 Enrollment ID: O20101129000027 |
Mailing Address | Practice Location Address |
---|---|
Bonnie E Mallard, OD 826 Savannah Ln, Calera, AL 35040-5553 Ph: (205) 835-1320 | Bonnie E Mallard, OD 1415 7th St S, Clanton, AL 35045-3746 Ph: (205) 755-7114 |
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