| |
202 Advocate Row, Vidalia, LA 71373-3000 | |
(601) 443-9876 | |
(601) 442-4000 |
Full Name | |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 202 Advocate Row, Vidalia, Louisiana |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952651523 | NPI | - | NPPES |
005352884 | Medicaid | MS | |
09825097 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 792 (Mississippi) | Primary |
Provider Name | Bridget Anders Milliken |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1467617290 PECOS PAC ID: 4183781347 Enrollment ID: I20090520000518 |
Mailing Address | Practice Location Address |
---|---|
202 Advocate Row, Vidalia, LA 71373-3000 Ph: (601) 443-9876 | 202 Advocate Row, Vidalia, LA 71373-3000 Ph: (601) 443-9876 |
Bridget Anders Milliken, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 Advocate Row, Vidalia, LA 71373 Phone: 601-443-9876 Fax: 601-442-4000 |