Mr Danny Latrell Green, OD | |
4253 Robinson St, Jackson, MS 39209-6530 | |
(601) 922-9272 | |
Not Available |
Full Name | Mr Danny Latrell Green |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 19 Years |
Location | 4253 Robinson St, Jackson, Mississippi |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982644597 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 745 (Mississippi) | Primary |
Provider Name | Healthy Eyes Family Vision Center Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1316173842 PECOS PAC ID: 1355487612 Enrollment ID: O20090930000490 |
Mailing Address | Practice Location Address |
---|---|
Mr Danny Latrell Green, OD 6030 Woodlea Rd, Jackson, MS 39206-2143 Ph: (601) 922-9272 | Mr Danny Latrell Green, OD 4253 Robinson St, Jackson, MS 39209-6530 Ph: (601) 922-9272 |
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