| Dr Jackson Charles Graham, OD | |
|
2101 Fort Henry Dr # E9, Kingsport, TN 37664-3658 | |
| (232) 461-5854 | |
| Not Available |
| Full Name | Dr Jackson Charles Graham |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 2101 Fort Henry Dr # E9, Kingsport, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497438493 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3224 (Oklahoma) | Secondary |
| 152W00000X | Optometrist | 3849 (Tennessee) | Primary |
| Provider Name | Dr. Torrey J. Carlson & Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1366480964 PECOS PAC ID: 2365401510 Enrollment ID: O20041005000363 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jackson Charles Graham, OD 2101 Fort Henry Dr Ste 9, Kingsport, TN 37664-3659 Ph: (232) 461-5854 | Dr Jackson Charles Graham, OD 2101 Fort Henry Dr # E9, Kingsport, TN 37664-3658 Ph: (232) 461-5854 |
Dr. Gregory Clinton Russell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 102 Professional Park Pvt Dr, Kingsport, TN 37663 Phone: 423-245-2222 Fax: 423-245-4822 | |
Dr. Melissa Marlo Holliman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1203 N Eastman Rd, Kingsport, TN 37664 Phone: 423-967-2683 Fax: 423-247-3631 | |
Elaina Larray-webb Owens, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2003 N Eastman Rd Ste 34, Kingsport, TN 37660 Phone: 423-408-6134 | |
Dr. Torrey Jon Carlson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2101 Fort Henry Dr, Space E-9, Kingsport, TN 37664 Phone: 423-246-1585 Fax: 423-246-9913 | |
Dr. Dale Edwin Mcniel Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3200 Fort Henry Dr, Kingsport, TN 37664 Phone: 423-230-0200 Fax: 423-392-4978 | |
John Henry Goldsmith, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 135 W Ravine Rd, Suite 2c, Kingsport, TN 37660 Phone: 423-246-7372 Fax: 423-578-4369 | |
Dr. Frank L Oglesby Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1599 Fort Henry Dr, Suite 101, Kingsport, TN 37664 Phone: 423-246-2381 Fax: 423-246-2301 |