Dr Kathleen A Clary, OD | |
200 Mosaic Cir, Pooler, GA 31322-5025 | |
(912) 348-4584 | |
Not Available |
Full Name | Dr Kathleen A Clary |
---|---|
Gender | Female |
Speciality | Optometrist - Corneal And Contact Management |
Location | 200 Mosaic Cir, Pooler, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609849389 | NPI | - | NPPES |
D19772 | Medicaid | SC | |
SCB632E499 | Other | SC | SC MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152WC0802X | Optometrist - Corneal And Contact Management | 0618000373 (Virginia) | Primary |
Provider Name | Sungate Medical Group Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114322336 PECOS PAC ID: 4082933098 Enrollment ID: O20150424000607 |
Provider Name | Mobile Vision Of South Carolina Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659731560 PECOS PAC ID: 1951609155 Enrollment ID: O20160420001690 |
Provider Name | 360care Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1417592536 PECOS PAC ID: 2860708666 Enrollment ID: O20200310001966 |
Mailing Address | Practice Location Address |
---|---|
Dr Kathleen A Clary, OD 200 Mosaic Cir, Pooler, GA 31322-5025 Ph: (912) 348-4584 | Dr Kathleen A Clary, OD 200 Mosaic Cir, Pooler, GA 31322-5025 Ph: (912) 348-4584 |
James H Treston, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 Pooler Pkwy, Pooler, GA 31322 Phone: 912-748-9597 | |
Dr. William Allen Herren, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15 Mill Creek Circle, Pooler, GA 31322 Phone: 912-748-9646 Fax: 912-748-9664 | |
Dr. Benjamin Johnson Crider, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 Grand Central Blvd Ste 110, Pooler, GA 31322 Phone: 912-450-9200 Fax: 912-450-9201 | |
Low Country Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Towne Center Blvd Ste 502, Pooler, GA 31322 Phone: 912-748-1272 Fax: 912-748-1996 | |
Chelsea Sceusa, OD Optometrist Medicare: Medicare Enrolled Practice Location: 200 Mosaic Cir, Pooler, GA 31322 Phone: 912-348-4584 | |
Eyes On Pooler, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 160 Pooler Pkwy, Pooler, GA 31322 Phone: 912-748-9597 Fax: 912-748-9551 | |
Dr. Timothy Dale Hendricks, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1000 Towne Center Blvd, Suite 502, Pooler, GA 31322 Phone: 912-748-1272 Fax: 912-748-1996 |