| Derek Jeanes, | |
|
3192 Willow Creek Rd, Prescott, AZ 86301-6610 | |
| (928) 445-1234 | |
| (602) 508-4830 |
| Full Name | Derek Jeanes |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 3192 Willow Creek Rd, Prescott, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043909229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT-002719 (Arizona) | Primary |
| Provider Name | Southwestern Eye Center, Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023063187 PECOS PAC ID: 1850296989 Enrollment ID: O20031203000181 |
| Provider Name | Barnet Dulaney Perkins Eye Center, Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376574707 PECOS PAC ID: 0749288298 Enrollment ID: O20061117000349 |
| Mailing Address | Practice Location Address |
|---|---|
| Derek Jeanes, 63 S Rockford Dr Ste 220, Tempe, AZ 85288-6226 Ph: (928) 445-1324 | Derek Jeanes, 3192 Willow Creek Rd, Prescott, AZ 86301-6610 Ph: (928) 445-1234 |
Dr. Matthew Ryan Sullivan, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 980 Willow Creek Road, Suite 202, Prescott, AZ 86301 Phone: 928-778-3937 Fax: 928-778-3939 | |
Dr. Patrick Allen Willer, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3911 E State Route 69, Prescott, AZ 86301 Phone: 928-442-0707 | |
Dr. Frank V. Mellblom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: V.a. Medical Center Navahcs, 500 N Hwy 89, Prescott, AZ 86314 Phone: 928-445-4860 | |
Dr. Monica Rae Stotler, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1727 Willow Creek Rd, Prescott, AZ 86301 Phone: 928-717-3259 | |
Geiler And Geiler, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Willow Creek Rd, Ste J, Prescott, AZ 86301 Phone: 928-445-2060 Fax: 925-445-2067 | |
Jonathan Lam, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 500 N Us Highway 89, Prescott, AZ 86313 Phone: 928-717-7477 |