J Larry Pritchett O D P C is a
Optometrist based in Camilla, Georgia. J Larry Pritchett O D P C is licensed to practice in Georgia (license number OPT000689) and their current practice location is
162 E Broad St, Camilla, Georgia. It can be reached at their office (for appointments etc.) via phone at
(229) 336-8991.
NPI number for J Larry Pritchett O D P C is 1750430567 and their current mailing address is 279 Pearson Dr Sw, Dawson, Georgia. J Larry Pritchett O D P C
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1750430567.
Healthcare Provider's Profile
| Full Name | J Larry Pritchett O D P C |
|---|
| Type | Facility |
|---|
| Speciality | Optometrist |
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| Location | 162 E Broad St, Camilla, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750430567
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 01/21/2010
Medical Identifiers
Medical identifiers for J Larry Pritchett O D P C such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750430567 | NPI | - | NPPES |
| 52103165 001 | Other | | BCBSGA |
| 000004199B | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | OPT000689 (Georgia) | Primary |
| 332H00000X | Eyewear Supplier | OPT000689 (Georgia) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. J Larry Pritchett O D P C is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
J Larry Pritchett O D P C
279 Pearson Dr Sw,
Dawson, GA 39842-1914
Ph: (229) 995-2920 | J Larry Pritchett O D P C
162 E Broad St,
Camilla, GA 31730-1841
Ph: (229) 336-8991 |
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