Laura Jean Shipman, | |
5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2739 | |
(770) 439-1426 | |
(770) 943-2550 |
Full Name | Laura Jean Shipman |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 5220 Jimmy Lee Smith Pkwy, Hiram, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265523823 | NPI | - | NPPES |
1019641200001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT002903 (Georgia) | Primary |
Provider Name | Merritt Eye Care, P.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1568604825 PECOS PAC ID: 9335285493 Enrollment ID: O20091005000290 |
Mailing Address | Practice Location Address |
---|---|
Laura Jean Shipman, 1801 Nathan Dean Byp, Rockmart, GA 30153-2019 Ph: (678) 685-5003 | Laura Jean Shipman, 5220 Jimmy Lee Smith Pkwy, Hiram, GA 30141-2739 Ph: (770) 439-1426 |
Hiram Vision Center, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4795 Jimmy Lee Smith Pkwy, Bldg 100 Suite 100, Hiram, GA 30141 Phone: 770-222-6362 | |
Dr. Ingrid A Ellison, M.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4795 Jimmy Lee Smith Pkwy, Suite 101, Hiram, GA 30141 Phone: 770-222-6362 Fax: 866-528-7115 | |
Lynn Family Eyecare Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4166 Jimmy Lee Smith Pkwy, Suite G, Hiram, GA 30141 Phone: 770-439-4230 | |
Dr. Kristine Lynn, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4166 Jimmy Lee Smith Pkwy Ste G, Hiram, GA 30141 Phone: 770-439-4230 | |
Dr. Patrick Wayne Schrepel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4465 Jimmy Lee Smith Pkwy Ste 101a, Hiram, GA 30141 Phone: 678-932-5779 | |
Dr. Sylvester Ayewoh, OD Optometrist Medicare: Medicare Enrolled Practice Location: 4373 Jimmy Lee Smith Pkwy Ste 101, Hiram, GA 30141 Phone: 770-943-2220 Fax: 770-943-4245 |