Cherokee Eye Clinic, P.c. | |
280 W Main St, Centre, AL 35960-1326 | |
(256) 927-4030 | |
(256) 927-2586 |
Full Name | Cherokee Eye Clinic, P.c. |
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Type | Facility |
Speciality | Optometrist |
Location | 280 W Main St, Centre, Alabama |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851403315 | NPI | - | NPPES |
51059743 | Other | AL | BLUE CROSS/BLUE SHIELD |
5947260 | Other | AL | AETNA |
000059743 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S-542-TA-135 (Alabama) | Primary |
Provider Name | Myron Jay Wilson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1922110758 PECOS PAC ID: 9234254194 Enrollment ID: I20100915000711 |
Provider Name | James Randall Mckissick |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1669852356 PECOS PAC ID: 5395059273 Enrollment ID: I20150805009115 |
Mailing Address | Practice Location Address |
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Cherokee Eye Clinic, P.c. 280 W Main St, Centre, AL 35960-1326 Ph: (256) 927-4030 | Cherokee Eye Clinic, P.c. 280 W Main St, Centre, AL 35960-1326 Ph: (256) 927-4030 |
Cherokee Eye Clinic Co, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 | |
Dr. James Randall Mckissick Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 | |
Samantha Myers, OD Optometrist Medicare: Medicare Enrolled Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 | |
Myron Wilson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 |