Jesse Ben Mize Iii, OD | |
706 Washington St, Ravenswood, WV 26164-1772 | |
(304) 273-2020 | |
Not Available |
Full Name | Jesse Ben Mize Iii |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 31 Years |
Location | 706 Washington St, Ravenswood, West Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235104068 | NPI | - | NPPES |
0149760000 | Medicaid | WV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 924-OD (West Virginia) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Jesse Ben Mize Iii And Christie Mize Ptr | 8123078649 | 3 |
Provider Name | Jesse Ben Mize Iii & Christie Mize Ptr |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1881643583 PECOS PAC ID: 8123078649 Enrollment ID: O20050124000146 |
Mailing Address | Practice Location Address |
---|---|
Jesse Ben Mize Iii, OD 706 Washington St, Ravenswood, WV 26164-1772 Ph: (304) 273-2020 | Jesse Ben Mize Iii, OD 706 Washington St, Ravenswood, WV 26164-1772 Ph: (304) 273-2020 |
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