Dr John Michael Porter, OD | |
360 Northside Dr E, Statesboro, GA 30458-4839 | |
(912) 764-9147 | |
(912) 764-7219 |
Full Name | Dr John Michael Porter |
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Gender | Male |
Speciality | Optometrist |
Location | 360 Northside Dr E, Statesboro, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386606374 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT001822 (Georgia) | Primary |
Provider Name | Lord Eye Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1083675136 PECOS PAC ID: 6305830274 Enrollment ID: O20040413001044 |
Mailing Address | Practice Location Address |
---|---|
Dr John Michael Porter, OD Po Box 1009, 360 Northside Dr. E, Statesboro, GA 30459-1009 Ph: (912) 764-9147 | Dr John Michael Porter, OD 360 Northside Dr E, Statesboro, GA 30458-4839 Ph: (912) 764-9147 |
Eagle Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 98 Georgia Ave., Bldg 356, Statesboro, GA 30458 Phone: 912-478-3937 Fax: 912-478-2537 | |
Myeyedr. Optometrist Medicare: Medicare Enrolled Practice Location: 1014 Northside Dr E, Statesboro, GA 30458 Phone: 912-764-9147 Fax: 912-764-7219 | |
Dr. Stephen Cauley, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1014 Northside Dr E, Statesboro, GA 30458 Phone: 912-764-9147 Fax: 912-764-3250 | |
Kacy Whiting Barker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 360 Northside Dr E, Statesboro, GA 30458 Phone: 912-764-9147 | |
Vision Source - Professional Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 214 Savannah Ave, Statesboro, GA 30458 Phone: 912-764-5609 Fax: 912-764-7786 | |
Dr. Clint D Paxson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1014 Northside Dr E, Statesboro, GA 30458 Phone: 912-764-9147 Fax: 912-764-3250 | |
Dr. Dylan Piette, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 214 Savannah Ave, Statesboro, GA 30458 Phone: 912-764-5609 |