Hattiesburg Eye Clinic Pa | |
1223 Hwy 42, Ste 140, Petal, MS 39465 | |
(601) 445-0226 | |
(601) 450-2264 |
Full Name | Hattiesburg Eye Clinic Pa |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1223 Hwy 42, Petal, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962679043 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Hattiesburg Eye Clinic Pa 100 Hospital Dr W, Hattiesburg, MS 39402-1334 Ph: (601) 268-5910 | Hattiesburg Eye Clinic Pa 1223 Hwy 42, Ste 140, Petal, MS 39465 Ph: (601) 445-0226 |
Alvaro J Moreno Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 598 E Central Ave, Petal, MS 39465 Phone: 601-450-3937 Fax: 601-909-6104 | |
Dee C Blackwell, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 193 Mars Hill Rd, Petal, MS 39465 Phone: 601-582-1311 Fax: 601-582-1311 | |
Ted Gene Harden Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1223 Highway 42, Ste 140, Petal, MS 39465 Phone: 601-450-2260 Fax: 601-450-2264 | |
Dr. Alvaro Paul Moreno, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 598 E Central Ave, Petal, MS 39465 Phone: 601-450-3937 | |
Dr. Alvaro Jorge Moreno, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 598 E Central Ave, Petal, MS 39465 Phone: 601-450-3937 Fax: 601-450-3937 |