Olive Branch Eyecare, Pllc | |
6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1922 | |
(662) 893-3300 | |
Not Available |
Full Name | Olive Branch Eyecare, Pllc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 6947 Crumpler Blvd, Olive Branch, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003019878 | NPI | - | NPPES |
09577062 | Medicaid | MS | |
DG2594 | Other | RAILROAD MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Primary |
Provider Name | David Parker |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1558321729 PECOS PAC ID: 8628963949 Enrollment ID: I20040217000188 |
Provider Name | Sean P Aldinger |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1659330231 PECOS PAC ID: 9739177270 Enrollment ID: I20040504000760 |
Provider Name | Nicole Y Monroe |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1700862042 PECOS PAC ID: 0143274340 Enrollment ID: I20050310000446 |
Provider Name | Walter Pang |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1548692130 PECOS PAC ID: 4284858473 Enrollment ID: I20140609001556 |
Provider Name | Mallory Phillips Bodford |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1932518032 PECOS PAC ID: 1658704010 Enrollment ID: I20191126001158 |
Mailing Address | Practice Location Address |
---|---|
Olive Branch Eyecare, Pllc 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1922 Ph: (662) 893-3300 | Olive Branch Eyecare, Pllc 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1922 Ph: (662) 893-3300 |
Dr. Preslee Magee, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6947 Crumpler Blvd, Olive Branch, MS 38654 Phone: 662-893-3300 Fax: 662-893-3301 | |
Grace Dalton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6947 Crumpler Blvd, Olive Branch, MS 38654 Phone: 662-893-3300 Fax: 662-893-3301 | |
Dr. Margo Denice Boler, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7950 Craft Goodman Rd, Olive Branch, MS 38654 Phone: 662-893-3950 Fax: 662-893-3950 | |
Margo D Ray Inc Optometrist Medicare: Medicare Enrolled Practice Location: 7950 Craft Goodman Rd, Olive Branch, MS 38654 Phone: 662-893-3950 Fax: 662-893-3950 | |
Dr. Tiffany Li Mcelroy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654 Phone: 662-893-3300 | |
Dr. David Lloyd Parker, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654 Phone: 662-893-3300 Fax: 662-893-3301 |