Dr Michael R Braden, OD | |
1725 W Everly Brothers Blvd, Central City, KY 42330-1833 | |
(270) 754-4483 | |
(270) 754-4909 |
Full Name | Dr Michael R Braden |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1725 W Everly Brothers Blvd, Central City, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053479485 | NPI | - | NPPES |
77013118 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1311DT (Kentucky) | Primary |
Provider Name | Family First Vision Care Kentucky Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396396750 PECOS PAC ID: 3577975291 Enrollment ID: O20201221002707 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael R Braden, OD 5420 State Route 764, Whitesville, KY 42378-9641 Ph: (270) 313-8717 | Dr Michael R Braden, OD 1725 W Everly Brothers Blvd, Central City, KY 42330-1833 Ph: (270) 754-4483 |
Tyler Neal Mayes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1601 W Everly Brothers Blvd, Central City, KY 42330 Phone: 270-754-4515 Fax: 270-754-2547 | |
Dr. Freddie Michael Mayes, OD OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1601 West Everly Brothers Blvd, Central City, KY 42330 Phone: 270-754-4515 Fax: 270-754-2547 | |
Oak Tree Eye Clinic Inc Psc Optometrist Medicare: Medicare Enrolled Practice Location: 1601 West Everly Brothers Blvd, Central City, KY 42330 Phone: 270-754-4515 Fax: 270-754-2547 |