Clifford D Courtenay, OD | |
3024 N Patterson St, Valdosta, GA 31602-1711 | |
(229) 247-4114 | |
(229) 245-9042 |
Full Name | Clifford D Courtenay |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 3024 N Patterson St, Valdosta, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1619982485 | NPI | - | NPPES |
000317138B | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT00145 (Georgia) | Primary |
Provider Name | Family Vision Care Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1871039933 PECOS PAC ID: 2062789118 Enrollment ID: O20170522001576 |
Mailing Address | Practice Location Address |
---|---|
Clifford D Courtenay, OD 3024 N Patterson St, Valdosta, GA 31602-1711 Ph: (229) 247-4114 | Clifford D Courtenay, OD 3024 N Patterson St, Valdosta, GA 31602-1711 Ph: (229) 247-4114 |
Dr. Carlos Ivan Ortiz, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3274 Inner Perimeter Rd, Valdosta, GA 31602 Phone: 229-253-9530 | |
Eye Center Optical, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2108 N Patterson St, Valdosta, GA 31602 Phone: 229-244-2790 | |
Affinity Health Group Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4380 Kings Way, Valdosta, GA 31602 Phone: 229-391-4100 Fax: 229-391-4508 | |
At Home Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4147 Ginger Trl, Valdosta, GA 31602 Phone: 504-554-1111 | |
Deborah F. Mcdonald, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3001 N Ashley St, Valdosta, GA 31602 Phone: 229-247-8484 Fax: 229-247-7996 | |
Southern Eye Center, Pc Optometrist Medicare: Medicare Enrolled Practice Location: 2310 N Patterson St, Suite B, Valdosta, GA 31602 Phone: 229-247-2020 Fax: 229-247-5600 | |
Dr. Steven Michael Wilson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2108 N Patterson St, Valdosta, GA 31602 Phone: 229-244-3000 Fax: 229-244-1934 |