Mary C Long, OD | |
114 N Hickory St, Aberdeen, MS 39730-2648 | |
(662) 369-2444 | |
(662) 369-7223 |
Full Name | Mary C Long |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 114 N Hickory St, Aberdeen, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932399730 | NPI | - | NPPES |
00087903 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 490 (Mississippi) | Primary |
Provider Name | Aberdeen Eye Clinic P A |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003851304 PECOS PAC ID: 6305801945 Enrollment ID: O20041123000734 |
Mailing Address | Practice Location Address |
---|---|
Mary C Long, OD 114 N Hickory St, Aberdeen, MS 39730-2648 Ph: (662) 369-2444 | Mary C Long, OD 114 N Hickory St, Aberdeen, MS 39730-2648 Ph: (662) 369-2444 |
Aberdeen Eye Clinic P A Optometrist Medicare: Medicare Enrolled Practice Location: 114 N Hickory St, Aberdeen, MS 39730 Phone: 662-369-2444 Fax: 662-369-7223 | |
Premier Eye Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 940 W Commerce St, Aberdeen, MS 39730 Phone: 662-304-5752 | |
Dr. Robert Ray Lacey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 207 W Commerce St, Aberdeen, MS 39730 Phone: 662-369-9020 Fax: 662-369-9810 |