Dr Jerry M Overall, OD | |
208 Smith St, Lagrange, GA 30240-2755 | |
(706) 882-0166 | |
(706) 883-7363 |
Full Name | Dr Jerry M Overall |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 208 Smith St, Lagrange, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871550426 | NPI | - | NPPES |
00004496A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT000678 (Georgia) | Primary |
Provider Name | Rainey Professional Association |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255399184 PECOS PAC ID: 1456362698 Enrollment ID: O20060601000003 |
Mailing Address | Practice Location Address |
---|---|
Dr Jerry M Overall, OD 208 Smith St, Lagrange, GA 30240-2755 Ph: (706) 882-0166 | Dr Jerry M Overall, OD 208 Smith St, Lagrange, GA 30240-2755 Ph: (706) 882-0166 |
Lagrange Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 208 Smith St, Lagrange, GA 30240 Phone: 706-882-0166 Fax: 706-883-7363 | |
West Georgia Vision Center Optometrist Medicare: Medicare Enrolled Practice Location: 407 S Greenwood St, Lagrange, GA 30240 Phone: 706-882-0616 Fax: 706-882-8515 | |
Dr. Donna G Whitlow, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 407 S Greenwood St, Lagrange, GA 30240 Phone: 706-882-0616 Fax: 706-882-8515 | |
Dr. James Brent Brown, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 101 S Dawson St Ste B, Lagrange, GA 30241 Phone: 170-688-5061 Fax: 706-885-9129 | |
Dr. John B. Whitlow, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 407 S Greenwood St, Lagrange, GA 30240 Phone: 706-882-0616 Fax: 706-882-8515 | |
Dr. Brent Brown & Associates, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 803 New Franklin Rd, Lagrange, GA 30240 Phone: 706-885-0610 Fax: 706-885-9129 |