| Collaborative Care Medical Associates Inc. | |
|
941 N Main St, Hazard, KY 41701-1377 | |
| (606) 439-4010 | |
| (606) 439-0880 |
| Full Name | Collaborative Care Medical Associates Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 941 N Main St, Hazard, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558690180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1120DT (Kentucky) | Primary |
| 363L00000X | Nurse Practitioner | 5556P (Kentucky) | Secondary |
| Provider Name | Dwight L Avery |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992883243 PECOS PAC ID: 7517021371 Enrollment ID: I20090123000175 |
| Mailing Address | Practice Location Address |
|---|---|
| Collaborative Care Medical Associates Inc. 941 N Main St, Hazard, KY 41701-1377 Ph: (606) 439-4010 | Collaborative Care Medical Associates Inc. 941 N Main St, Hazard, KY 41701-1377 Ph: (606) 439-4010 |
Taylormade Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 120 Daniel Boone Plz, Hazard, KY 41701 Phone: 606-436-6565 | |
Charles Jordan Davidson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1824 N Main St, Hazard, KY 41701 Phone: 606-217-0920 Fax: 606-217-0922 | |
Eye Care Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 161 Citizens Ln, Hazard, KY 41701 Phone: 606-436-3313 Fax: 606-436-2020 | |
Davidson-moore Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1824 N Main St, Hazard, KY 41701 Phone: 606-217-0920 Fax: 606-217-0922 | |
Nicholas Taylor, OD Optometrist Medicare: Medicare Enrolled Practice Location: 120 Daniel Boone Plz, Hazard, KY 41701 Phone: 606-436-6565 | |
Southeast Vision Associates, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 120 Daniel Boone Plz, Hazard, KY 41701 Phone: 606-487-8949 Fax: 606-487-0279 |