Mrs Sarah Jordan Collins Shell, OD | |
135 South Bells Street, Alamo, TN 38001 | |
(731) 696-4004 | |
(731) 696-4009 |
Full Name | Mrs Sarah Jordan Collins Shell |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 135 South Bells Street, Alamo, Tennessee |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154055069 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 3736 (Tennessee) | Primary |
Provider Name | Lisa L Privett |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992754295 PECOS PAC ID: 6608925672 Enrollment ID: I20090521000360 |
Provider Name | Lisa K Privett Family Eye Care |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1073791406 PECOS PAC ID: 3577683812 Enrollment ID: O20231219000933 |
Mailing Address | Practice Location Address |
---|---|
Mrs Sarah Jordan Collins Shell, OD 135 South Bells Street, Alamo, TN 38001 Ph: (731) 696-4004 | Mrs Sarah Jordan Collins Shell, OD 135 South Bells Street, Alamo, TN 38001 Ph: (731) 696-4004 |
Family Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 135 S Bells St, Alamo, TN 38001 Phone: 731-696-4004 Fax: 731-696-4009 | |
Dr. Lisa L Privett, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 135 S Bells St, Alamo, TN 38001 Phone: 731-696-4004 Fax: 731-696-4009 |