Dr Mark P Smith, OD | |
211 North Whitworth Ave, Brookhaven, MS 39601 | |
(601) 833-4431 | |
(601) 833-1007 |
Full Name | Dr Mark P Smith |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 211 North Whitworth Ave, Brookhaven, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952497679 | NPI | - | NPPES |
512G700288 | Other | MS | MEDICARE PTAN |
09125722 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 449 (Mississippi) | Primary |
Provider Name | Smith Eye Care Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003070533 PECOS PAC ID: 3072687193 Enrollment ID: O20080806000769 |
Mailing Address | Practice Location Address |
---|---|
Dr Mark P Smith, OD 211 North Whitworth Ave, Brookhaven, MS 39601 Ph: (601) 833-4431 | Dr Mark P Smith, OD 211 North Whitworth Ave, Brookhaven, MS 39601 Ph: (601) 833-4431 |
Smith Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 211 N Whitworth Ave, Brookhaven, MS 39601 Phone: 601-833-4431 Fax: 601-833-1007 | |
Wells Vision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 960 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-4494 | |
Dr. Chad P Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 N Whitworth Ave, Brookhaven, MS 39601 Phone: 601-833-4431 Fax: 601-833-1007 | |
Dr. Sheryl Watson Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 960 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-4494 Fax: 601-823-4551 | |
Dr. Tressie Hall, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 51 S, Suite B, Brookhaven, MS 39601 Phone: 601-833-6000 Fax: 601-833-0404 |