Jacqueline Powell, | |
325 W Walnut St, Lebanon, KY 40033-1377 | |
(270) 867-8200 | |
(502) 916-3010 |
Full Name | Jacqueline Powell |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 325 W Walnut St, Lebanon, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730889320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2353DT (Kentucky) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Provider Name | Ky Doctors Of Optometry Pllc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1700890001 PECOS PAC ID: 0941108732 Enrollment ID: O20031231000020 |
Provider Name | Clarkson Optometry Midwest Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073917597 PECOS PAC ID: 0749504165 Enrollment ID: O20160526000461 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Powell, Po Box 207170, Dallas, TX 75320-7170 Ph: (636) 200-4393 | Jacqueline Powell, 325 W Walnut St, Lebanon, KY 40033-1377 Ph: (270) 867-8200 |
Dr. Paul G Taylor, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 | |
Amanda M Ballard, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 325 W Walnut St, Ste400, Lebanon, KY 40033 Phone: 502-955-2020 Fax: 502-736-4490 | |
20/20 Eyecare Optometrist Medicare: Medicare Enrolled Practice Location: 325 W Walnut St, Ste 400, Lebanon, KY 40033 Phone: 636-200-4393 | |
Dr. Patricia Mary Hollingsworth-cecconi, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 | |
Central Kentucky Optometric Associates Psc Optometrist Medicare: Medicare Enrolled Practice Location: 310 W High St, Lebanon, KY 40033 Phone: 270-692-1871 Fax: 270-692-6785 |