| Obrien Vision Center, P.a. | |
|
1890 Goodman Rd E, Suite 100, Southaven, MS 38671-9552 | |
| (662) 772-5882 | |
| (662) 772-5808 |
| Full Name | Obrien Vision Center, P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1890 Goodman Rd E, Southaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518046234 | NPI | - | NPPES |
| 00880166 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 593 (Mississippi) | Primary |
| Provider Name | Jonathan Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881738532 PECOS PAC ID: 7315901592 Enrollment ID: I20080303000201 |
| Provider Name | Michael E Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306925029 PECOS PAC ID: 1153405030 Enrollment ID: I20080306000398 |
| Provider Name | Kellie M Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790185999 PECOS PAC ID: 0042528366 Enrollment ID: I20151006000566 |
| Provider Name | Ty H Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992282529 PECOS PAC ID: 7911241773 Enrollment ID: I20181205000242 |
| Provider Name | Christina Marie Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700918729 PECOS PAC ID: 4789754656 Enrollment ID: I20231009000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Obrien Vision Center, P.a. 1890 Goodman Rd E, Suite 100, Southaven, MS 38671-9552 Ph: (662) 772-5882 | Obrien Vision Center, P.a. 1890 Goodman Rd E, Suite 100, Southaven, MS 38671-9552 Ph: (662) 772-5882 |
Dr. Heather Michelle Dowdy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6811 Southcrest Pkwy, Southaven, MS 38671 Phone: 662-349-1920 Fax: 662-349-1995 | |
Obreineyecare Optometrist Medicare: Not Enrolled in Medicare Practice Location: 354 Stateline Rd W, Southaven, MS 38671 Phone: 662-647-8707 Fax: 662-647-8706 | |
Parth Amin, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 940 Church Rd W Ste C, Southaven, MS 38671 Phone: 662-331-3937 | |
Alan Charles Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1228 Goodman Rd E Ste 1, Southaven, MS 38671 Phone: 662-349-8838 Fax: 662-349-8875 | |
Dr. Taylor Nicole Keys, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7900 Airways Blvd Bldg A1, Southaven, MS 38671 Phone: 901-228-0092 | |
Dr. Michael Edward Obrien, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1890 Goodman Rd E, Suite 100, Southaven, MS 38671 Phone: 662-772-5882 Fax: 662-772-5808 | |
Eyear Optical Optometrist Medicare: Medicare Enrolled Practice Location: 3044 Goodman Rd E, Southaven, MS 38672 Phone: 662-349-1660 |