| Mccloud Eye Care Center Inc | |
|
107 E Main St, Grayson, KY 41143-1301 | |
| (606) 474-5149 | |
| (606) 474-0648 |
| Full Name | Mccloud Eye Care Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 107 E Main St, Grayson, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497936256 | NPI | - | NPPES |
| 7987 | Other | KY | MEDICARE GROUP # |
| 77903649 | Medicaid | KY | |
| 77000859 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1585DT (Kentucky) | Primary |
| Provider Name | Jason H Mccloud |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679505507 PECOS PAC ID: 3678469137 Enrollment ID: I20040227000861 |
| Mailing Address | Practice Location Address |
|---|---|
| Mccloud Eye Care Center Inc 107 E Main St, Grayson, KY 41143-1301 Ph: (606) 474-5149 | Mccloud Eye Care Center Inc 107 E Main St, Grayson, KY 41143-1301 Ph: (606) 474-5149 |
Anthony Scott Kee, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 166 S Carol Malone Blvd, Ste A, Grayson, KY 41143 Phone: 606-474-2940 Fax: 606-474-2944 | |
Dr. Joshua C Arnett, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 313 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7833 Fax: 606-474-3563 | |
Anthony S. Kee, O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 166 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-2940 Fax: 606-474-2944 | |
Family Vision Health Center Optometrist Medicare: Medicare Enrolled Practice Location: 313 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7833 Fax: 606-474-3563 | |
Dr. Garrett Scott Kee, OD Optometrist Medicare: Medicare Enrolled Practice Location: 166 S Carol Malone Blvd Ste A, Grayson, KY 41143 Phone: 606-474-2940 | |
Dr. Mary Catherine West, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 313 S Carol Malone Blvd, Grayson, KY 41143 Phone: 606-474-7833 Fax: 606-474-3563 |