Byhalia Vision Center Llc | |
8250 Hwy 178 West, Byhalia, MS 38611-6776 | |
(662) 850-1051 | |
(662) 850-1053 |
Full Name | Byhalia Vision Center Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 8250 Hwy 178 West, Byhalia, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1952965022 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | Jonathan Wilson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1881738532 PECOS PAC ID: 7315901592 Enrollment ID: I20080303000201 |
Provider Name | Michael E Obrien |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1306925029 PECOS PAC ID: 1153405030 Enrollment ID: I20080306000398 |
Provider Name | Kellie M Jones |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1790185999 PECOS PAC ID: 0042528366 Enrollment ID: I20151006000566 |
Provider Name | Ty H Smith |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992282529 PECOS PAC ID: 7911241773 Enrollment ID: I20181205000242 |
Provider Name | Christina Marie Brown |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700918729 PECOS PAC ID: 4789754656 Enrollment ID: I20231009000174 |
Mailing Address | Practice Location Address |
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Byhalia Vision Center Llc 1890 Goodman Rd E Ste 100, Southaven, MS 38671-9504 Ph: (662) 772-5882 | Byhalia Vision Center Llc 8250 Hwy 178 West, Byhalia, MS 38611-6776 Ph: (662) 850-1051 |