Dr Douglas W Devore, OD | |
820 E Lee St, Enterprise, AL 36330-2011 | |
(334) 393-2020 | |
Not Available |
Full Name | Dr Douglas W Devore |
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Gender | Male |
Speciality | Optometrist |
Location | 820 E Lee St, Enterprise, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104813542 | NPI | - | NPPES |
046007697 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 046007697 (Illinois) | Secondary |
152W00000X | Optometrist | R-332 (Alabama) | Primary |
Provider Name | Eyecare Associates, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1710012877 PECOS PAC ID: 0749254001 Enrollment ID: O20040823000825 |
Mailing Address | Practice Location Address |
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Dr Douglas W Devore, OD Po Box 207243, Dallas, TX 75320-7243 Ph: (636) 200-4393 | Dr Douglas W Devore, OD 820 E Lee St, Enterprise, AL 36330-2011 Ph: (334) 393-2020 |
Eye Care Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 820 East Lee Street, Enterprise, AL 36330 Phone: 334-393-2020 Fax: 636-527-0766 | |
Lorie C Woods, OD Optometrist Medicare: Medicare Enrolled Practice Location: 812 E Lee St, Enterprise, AL 36330 Phone: 334-393-2020 Fax: 334-393-6936 | |
Bender Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 1020 B Boll Weevil Circle, Enterprise, AL 36330 Phone: 334-347-2732 Fax: 334-347-2732 | |
Dr. Brian Edward Kurtz, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 820 E Lee St, Enterprise, AL 36330 Phone: 334-393-2020 | |
Dr. Gary Dale Dobbs, Optometrist Medicare: Medicare Enrolled Practice Location: 207 S Main St, Enterprise, AL 36330 Phone: 334-347-8900 Fax: 334-347-1480 | |
Dr. Velvet Jeter Maddox, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 607-c Boll Weevil Circle, Enterprise, AL 36330 Phone: 334-347-6599 Fax: 334-347-6599 |