| The Eye Place | |
|
105 N Main St Ste 100, Jasper, GA 30143-1557 | |
| (678) 315-9446 | |
| Not Available |
| Full Name | The Eye Place |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 105 N Main St Ste 100, Jasper, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417589664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kenny B Holloway |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1912990714 PECOS PAC ID: 5496780991 Enrollment ID: I20051004000464 |
| Mailing Address | Practice Location Address |
|---|---|
| The Eye Place 105 N Main St Ste 100, Jasper, GA 30143-1557 Ph: (678) 315-9446 | The Eye Place 105 N Main St Ste 100, Jasper, GA 30143-1557 Ph: (678) 315-9446 |
Dr. Lauren Brooke Yancey, OD Optometrist Medicare: Medicare Enrolled Practice Location: 150 Interstate South Dr Ste 200, Jasper, GA 30143 Phone: 678-454-7329 Fax: 678-454-7331 | |
Rose A Darby, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510 | |
Pickens Eye Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879 | |
Gilbert James Od Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 800 W Church St, Jasper, GA 30143 Phone: 706-692-7510 Fax: 706-692-7512 | |
Maria Bencsath, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 360 W Church St, Jasper, GA 30143 Phone: 706-692-2878 Fax: 706-692-2879 | |
Mr. Charles Isaac Newcomer, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 150 Interstate South Drive Suite 200, Jasper, GA 30143 Phone: 678-454-7329 Fax: 678-454-7331 |