Dr Stephen R Thurmond, OD | |
50 Earl St, Suite A, Clayton, GA 30525 | |
(706) 782-3535 | |
(706) 782-7525 |
Full Name | Dr Stephen R Thurmond |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 50 Earl St, Clayton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669491437 | NPI | - | NPPES |
52403378 | Other | GA | BLUECROSS BLUESHIELD |
00521562A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT001354 (Georgia) | Primary |
Provider Name | Southeast Eye Group Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003456229 PECOS PAC ID: 9234553462 Enrollment ID: O20200928003087 |
Mailing Address | Practice Location Address |
---|---|
Dr Stephen R Thurmond, OD Po Box 2105, Clayton, GA 30525-0053 Ph: (706) 782-3535 | Dr Stephen R Thurmond, OD 50 Earl St, Suite A, Clayton, GA 30525 Ph: (706) 782-3535 |
Dr. Alexa Reane Arencibia, OD Optometrist Medicare: Medicare Enrolled Practice Location: 21 Legacy Point, Clayton, GA 30525 Phone: 706-782-3535 | |
Clayton Family Eye Care Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 50 Earl St., Suite A, Clayton, GA 30525 Phone: 706-782-3535 Fax: 706-782-7525 | |
Dr. Ibry Dell Engram, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1455 Hwy 441 South, Clayton, GA 30525 Phone: 706-782-6961 Fax: 706-782-6966 |