Myron Wilson, OD | |
280 W Main St, Centre, AL 35960-1326 | |
(256) 927-4030 | |
(256) 927-2586 |
Full Name | Myron Wilson |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 280 W Main St, Centre, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922110758 | NPI | - | NPPES |
000059743 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | S-542-TA-135 (Alabama) | Primary |
Provider Name | Cherokee Eye Clinic, P.c. |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1851403315 PECOS PAC ID: 8325163280 Enrollment ID: O20100915000659 |
Mailing Address | Practice Location Address |
---|---|
Myron Wilson, OD 280 W Main St, Centre, AL 35960-1326 Ph: (256) 927-4030 | Myron Wilson, OD 280 W Main St, Centre, AL 35960-1326 Ph: (256) 927-4030 |
Cherokee Eye Clinic Co, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 | |
Dr. James Randall Mckissick Ii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 | |
Samantha Myers, OD Optometrist Medicare: Medicare Enrolled Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 | |
Cherokee Eye Clinic, P.c. Optometrist Medicare: Medicare Enrolled Practice Location: 280 W Main St, Centre, AL 35960 Phone: 256-927-4030 Fax: 256-927-2586 |