| Brel Clark,o.d.,p.c. | |
|
5279 Whittlesey Blvd Ste 100, Columbus, GA 31909-3073 | |
| (706) 405-7308 | |
| (706) 324-4939 |
| Full Name | Brel Clark,o.d.,p.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5279 Whittlesey Blvd Ste 100, Columbus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962956359 | NPI | - | NPPES |
| 000229215G | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT000940 (Georgia) | Primary |
| Provider Name | Brel Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619075033 PECOS PAC ID: 0143201715 Enrollment ID: I20040917000769 |
| Mailing Address | Practice Location Address |
|---|---|
| Brel Clark,o.d.,p.c. Po Box 4259, Columbus, GA 31914-0259 Ph: (706) 405-7308 | Brel Clark,o.d.,p.c. 5279 Whittlesey Blvd Ste 100, Columbus, GA 31909-3073 Ph: (706) 405-7308 |
Wayne Paul Gasser, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6490 Veterans Pkway, Columbus, GA 31909 Phone: 706-653-6202 Fax: 706-653-9204 | |
Dr. Timothy Adkins Ross, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4521 17th Ave, Columbus, GA 31904 Phone: 706-660-0191 Fax: 706-596-8388 | |
Matthew Barrett, Optometrist Medicare: Medicare Enrolled Practice Location: 2501 Whittlesey Blvd, Suite A, Columbus, GA 31909 Phone: 706-507-3937 Fax: 706-507-3929 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6490 Veterans Pkwy, Columbus, GA 31909 Phone: 706-653-6200 | |
Dr. Walter Lee Jackson Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2616 Warm Springs Road, Columbus, GA 31904 Phone: 706-507-7530 Fax: 706-221-9797 | |
20/20 Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 2501 Whittlesey Boulevard, Suite A, Columbus, GA 31909 Phone: 706-507-3937 Fax: 706-507-3929 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4521 17th Ave, Columbus, GA 31904 Phone: 706-660-0191 Fax: 706-596-8388 |