Dr Shantise Mccall Story, OD | |
2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | |
(205) 781-5995 | |
Not Available |
Full Name | Dr Shantise Mccall Story |
---|---|
Gender | Female |
Speciality | Optometry |
Experience | 17 Years |
Location | 2400 Mt. Zion Parkway, Jonesboro, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083808174 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | SB63TA768 (Alabama) | Secondary |
152W00000X | Optometrist | OPT002808 (Georgia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Southeast Permanente Medical Group | 6204829013 | 660 |
Provider Name | The Southeast Permanente Medical Group |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Mailing Address | Practice Location Address |
---|---|
Dr Shantise Mccall Story, OD 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 364-7070 | Dr Shantise Mccall Story, OD 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Ph: (205) 781-5995 |
Depoe Eye Center Pc Optometrist Medicare: Medicare Enrolled Practice Location: 300 N Main St, Suite 301, Jonesboro, GA 30236 Phone: 770-603-0063 | |
Robert W. Mccullough, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 137 W Mill St, Jonesboro, GA 30236 Phone: 770-471-5037 | |
Mr. Blair John Lamey, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 423-899-2905 Fax: 423-894-3261 | |
Dr. Robert W. Mccullough Optometrist Medicare: Medicare Enrolled Practice Location: 137 W Mill St, Jonesboro, GA 30236 Phone: 770-471-5037 | |
The Eyes Have It, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 6525 Tara Blvd, Suite 134, Jonesboro, GA 30236 Phone: 678-369-8676 Fax: 678-369-8676 | |
Ms. Terri Lynne Norris, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 Phone: 205-940-9000 |