Dr Marimel S Tilley, OD | |
510 E Stoner Ave, Shreveport, LA 71101-4243 | |
(318) 221-8411 | |
(318) 990-4752 |
Full Name | Dr Marimel S Tilley |
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Gender | Female |
Speciality | Optometrist |
Location | 510 E Stoner Ave, Shreveport, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700980109 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1417-540AT (Louisiana) | Primary |
Provider Name | Lusk Eye Specialists, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053405357 PECOS PAC ID: 6901792985 Enrollment ID: O20040226000032 |
Provider Name | Jason Wonch, O.d. And Associates, A.p.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1295769008 PECOS PAC ID: 8426040940 Enrollment ID: O20040402000193 |
Mailing Address | Practice Location Address |
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Dr Marimel S Tilley, OD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: () - | Dr Marimel S Tilley, OD 510 E Stoner Ave, Shreveport, LA 71101-4243 Ph: (318) 221-8411 |
Sam R Silverblatt, Od Apmc Optometrist Medicare: Medicare Enrolled Practice Location: 1803 E 70th St, Shreveport, LA 71105 Phone: 318-798-4000 Fax: 318-798-4001 | |
Dr. Christine M Davis, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 955 Pierremont Rd Ste 400, Shreveport, LA 71106 Phone: 318-868-6118 Fax: 318-666-9927 | |
Look Eyecare Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5848 Line Ave, Shreveport, LA 71106 Phone: 318-865-0017 | |
Lusk Eye Specialists, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 451 Ashley Ridge Blvd, Shreveport, LA 71106 Phone: 318-222-5555 Fax: 318-222-6414 | |
Dr. Bradly Kendall Larson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 8889 Jewella Ave Ste C, Shreveport, LA 71118 Phone: 318-686-5227 Fax: 381-686-5283 | |
Weston Whitworth, OD Optometrist Medicare: Medicare Enrolled Practice Location: 8889 Jewella Ave, Shreveport, LA 71118 Phone: 318-686-5227 | |
Dr. Michael David Pickering, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5848 Line Ave, Shreveport, LA 71106 Phone: 318-865-0017 Fax: 318-868-4738 |