Dr James Herbert Stevenot I, OD | |
2209 Memorial Dr, Waycross, GA 31501-0902 | |
(912) 285-2021 | |
(912) 285-2558 |
Full Name | Dr James Herbert Stevenot I |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 2209 Memorial Dr, Waycross, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730273657 | NPI | - | NPPES |
52401034003 | Other | GA | BCBS |
00366484C | Medicaid | GA | |
410047413 | Other | GA | RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT000966 (Georgia) | Primary |
Provider Name | Myeyedr Optometry Of Georgia, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437294592 PECOS PAC ID: 8224261201 Enrollment ID: O20140428000739 |
Mailing Address | Practice Location Address |
---|---|
Dr James Herbert Stevenot I, OD 8614 Westwood Center Dr Fl 9, Vienna, VA 22182-2442 Ph: (703) 847-8899 | Dr James Herbert Stevenot I, OD 2209 Memorial Dr, Waycross, GA 31501-0902 Ph: (912) 285-2021 |
Robert S Gentile Enterprise Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1701 Boulevard Sq, Ste C, Waycross, GA 31501 Phone: 912-283-7171 Fax: 912-284-9183 | |
Myeyedr. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2209 Memorial Dr, Waycross, GA 31501 Phone: 912-285-2021 Fax: 912-285-2558 | |
Meredith Yingling Parmelee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Brunswick Hwy, Waycross, GA 31501 Phone: 912-283-9383 Fax: 912-275-8568 | |
Dr. Henry Howard Brewer Iii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2209 Memorial Dr, Waycross, GA 31501 Phone: 912-285-2021 Fax: 912-285-2558 | |
Dr. Rodney Howard Brown, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1730 Brunswick Hwy, Waycross, GA 31501 Phone: 912-283-9383 Fax: 912-285-9333 | |
Dr. Brandi Michelle Lee, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 Darling Ave, Waycross, GA 31501 Phone: 912-584-0047 Fax: 912-490-1498 | |
Sistar Eyecare Associates Optometrist Medicare: Not Enrolled in Medicare Practice Location: 545 Knight Ave, Waycross, GA 31501 Phone: 912-285-0020 Fax: 912-285-8222 |