Hardeman County Vision Center Inc | |
725 W Market St, Bolivar, TN 38008-2242 | |
(731) 658-5197 | |
(731) 658-5245 |
Full Name | Hardeman County Vision Center Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 725 W Market St, Bolivar, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962094193 | NPI | - | NPPES |
6051220 | Other | TN | BCBS |
7699658 | Other | TN | CIGNA |
A22476 | Other | TN | EYEMED |
Q015027 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | George Watkins Walters, Jr |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1134142094 PECOS PAC ID: 7416064928 Enrollment ID: I20101119000440 |
Provider Name | Elizabeth G Ligon |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700288024 PECOS PAC ID: 3375843659 Enrollment ID: I20151119000318 |
Mailing Address | Practice Location Address |
---|---|
Hardeman County Vision Center Inc 215 Meadow Ridge Dr, Lakeland, TN 38002-4880 Ph: (803) 984-5278 | Hardeman County Vision Center Inc 725 W Market St, Bolivar, TN 38008-2242 Ph: (731) 658-5197 |
Dr. George W Walters, Jr, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 W Market St, Bolivar, TN 38008 Phone: 731-658-5197 Fax: 731-658-5245 | |
Vision Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 725 W Market St, Bolivar, TN 38008 Phone: 731-658-5197 Fax: 731-658-5245 | |
Dr. Elizabeth Gault Ligon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 W Market St, Bolivar, TN 38008 Phone: 731-658-5197 Fax: 731-658-5197 |