| Glenn M Cochran Od Pllc | |
|
303 S Archusa Ave, Quitman, MS 39355-0690 | |
| (601) 776-6988 | |
| (601) 776-6989 |
| Full Name | Glenn M Cochran Od Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 303 S Archusa Ave, Quitman, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205080512 | NPI | - | NPPES |
| DS0535 | Other | MS | RAILROAD MEDICARE |
| 07088019 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Glenn M Cochran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619944287 PECOS PAC ID: 4486715554 Enrollment ID: I20081208000362 |
| Provider Name | David M Holifield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1922312388 PECOS PAC ID: 3072799451 Enrollment ID: I20110519000425 |
| Mailing Address | Practice Location Address |
|---|---|
| Glenn M Cochran Od Pllc Po Box 690, 303 S Archusa Ave, Quitman, MS 39355-0690 Ph: (601) 776-6988 | Glenn M Cochran Od Pllc 303 S Archusa Ave, Quitman, MS 39355-0690 Ph: (601) 776-6988 |
Eye Clinic Of Quitman Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 303 S Archusa Ave, Quitman, MS 39355 Phone: 601-776-6988 Fax: 601-776-6989 | |
Glenn M Cochran, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 303 S Archusa Ave, Quitman, MS 39355 Phone: 601-776-6988 Fax: 601-776-6989 | |
David M Holifield, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 303 S Archusa Ave, Quitman, MS 39355 Phone: 601-776-6988 Fax: 601-776-6989 |