| Eyetech Eyecare Center | |
|
2112 N Frontage Rd, Meridian, MS 39301-6158 | |
| (601) 693-2020 | |
| (601) 693-2690 |
| Full Name | Eyetech Eyecare Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2112 N Frontage Rd, Meridian, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922409028 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 457 (Mississippi) | Primary |
| Provider Name | Grady M Clark |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831276278 PECOS PAC ID: 7911953146 Enrollment ID: I20050330000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Eyetech Eyecare Center 2112 N Frontage Rd, Meridian, MS 39301-6158 Ph: (601) 693-2020 | Eyetech Eyecare Center 2112 N Frontage Rd, Meridian, MS 39301-6158 Ph: (601) 693-2020 |
Dr. Thi Bui, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1733 2nd St S, Meridian, MS 39301 Phone: 601-533-1355 Fax: 601-553-0527 | |
Dr. Eric J Johnson Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1301 20th Ave, Meridian, MS 39301 Phone: 601-485-2368 Fax: 601-693-2174 | |
Dr. James Dewey Westbrook, OD Optometrist Medicare: Medicare Enrolled Practice Location: 910 23rd Ave, Meridian, MS 39301 Phone: 601-693-1841 | |
Primary Eyecare South Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1217 S Frontage Rd Ste E, Meridian, MS 39301 Phone: 601-485-2020 | |
Eyecare Express, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1733 2nd St S, Meridian, MS 39301 Phone: 601-553-0527 Fax: 601-553-1355 | |
David A Otto, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 5002 Highway 39 N, Building B, Meridian, MS 39301 Phone: 601-483-7331 | |
Dr. Tracy B Phillips, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1733 2nd St S, Meridian, MS 39301 Phone: 601-693-0176 |