| Cody Whiddon Inc. | |
|
3905 Victory Drive, Marshall, TX 75672-4755 | |
| (903) 935-2861 | |
| (903) 935-1047 |
| Full Name | Cody Whiddon Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3905 Victory Drive, Marshall, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811186414 | NPI | - | NPPES |
| 1588143598 | Medicaid | TX | |
| 2E6890 | Other | TX | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Bruce W Debeer |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1245224468 PECOS PAC ID: 5597841205 Enrollment ID: I20080320000561 |
| Provider Name | Cody Harris Whiddon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1588143598 PECOS PAC ID: 7012245095 Enrollment ID: I20190829000842 |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Whiddon Inc. 3905 Victory Drive, Marshall, TX 75672-4755 Ph: (903) 935-2861 | Cody Whiddon Inc. 3905 Victory Drive, Marshall, TX 75672-4755 Ph: (903) 935-2861 |
David L Nelson, Doctor Of Optometry, Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2306 E End Blvd S, Marshall, TX 75672 Phone: 903-938-2555 Fax: 903-938-1011 | |
Jana Harrell Ponder Od Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1701 E End Blvd N, Marshall, TX 75670 Phone: 903-927-2861 Fax: 903-927-2862 | |
Ward Eye Associates Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2306 E End Blvd S, Marshall, TX 75672 Phone: 903-938-2555 Fax: 903-238-8876 | |
Dr. Bruce W. Debeer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3905 Victory Dr, Marshall, TX 75672 Phone: 903-935-2861 Fax: 903-935-1047 | |
Dr. Jana Harrell Ponder, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1701 E End Blvd N, Marshall, TX 75670 Phone: 903-927-2861 Fax: 903-927-2862 | |
Dr. Cody Harris Whiddon, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3905 Victory Dr, Marshall, TX 75672 Phone: 903-935-2861 | |
Dr. David Land Nelson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2306 E End Blvd S, Marshall, TX 75672 Phone: 903-938-2555 Fax: 903-938-1011 |