| Mallory L Chambliss Odpa | |
|
3320 Silas Creek Pkwy, Suite 150, Winston Salem, NC 27103-3031 | |
| (336) 760-4240 | |
| (336) 760-4240 |
| Full Name | Mallory L Chambliss Odpa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3320 Silas Creek Pkwy, Winston Salem, North Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912177676 | NPI | - | NPPES |
| 09147 | Other | NC | BLUE CROSS BLUE SHIELD |
| 8909147 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 0793 (North Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory L Chambliss Odpa Po Box 279, Rural Hall, NC 27045-0279 Ph: (336) 760-4240 | Mallory L Chambliss Odpa 3320 Silas Creek Pkwy, Suite 150, Winston Salem, NC 27103-3031 Ph: (336) 760-4240 |
Dr. Gary Brent Cogdill, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3320 Silas Creek Pkwy, Suite 280, Winston Salem, NC 27103 Phone: 336-765-3159 Fax: 336-659-0998 | |
Mr. Seth Jones, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Dr. Marium Warsi-zehri, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3316 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 535-033-6765 | |
Dr. Terry W Ellington, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2910 Reynolda Rd, Winston Salem, NC 27106 Phone: 336-724-5000 | |
Dr. Terry L. Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 8013 N Point Blvd, Winston Salem, NC 27106 Phone: 336-759-9706 | |
Hillcrest Vision, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 2341 Winterhaven Ln, Winston Salem, NC 27103 Phone: 336-760-2020 Fax: 336-760-2858 | |
Lisa N Davis, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 235 Harvey St, Winston Salem, NC 27103 Phone: 336-842-0952 Fax: 336-793-3475 |