| Primary Eyecare Center Llc | |
|
2401 Medical Center Pkwy., Selma, AL 36701-7756 | |
| (334) 874-7024 | |
| (334) 874-7372 |
| Full Name | Primary Eyecare Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2401 Medical Center Pkwy., Selma, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427349406 | NPI | - | NPPES |
| 128417 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | SC32TA854 (Alabama) | Primary |
| Provider Name | Kristina S Lovinggood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1619298049 PECOS PAC ID: 7012032568 Enrollment ID: I20100921000544 |
| Provider Name | Betsy S Farris |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1124548318 PECOS PAC ID: 8426328659 Enrollment ID: I20170720003392 |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Eyecare Center Llc 2401 Medical Center Pkwy., Selma, AL 36701-7756 Ph: (334) 874-7024 | Primary Eyecare Center Llc 2401 Medical Center Pkwy., Selma, AL 36701-7756 Ph: (334) 874-7024 |
Dr. John C. Blackenburg, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 700 Dallas Ave, Selma, AL 36701 Phone: 850-622-0364 Fax: 850-622-0364 | |
Mr. Leroy Maxwell Sr., OD MPH Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2401 Medical Center Pkwy, Selma, AL 36701 Phone: 334-872-2321 Fax: 334-872-2391 | |
Kristina Lovinggood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 801 Dallas Ave, Selma, AL 36701 Phone: 334-874-7024 Fax: 334-874-7372 | |
Selma Eye Associates, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 700 Dallas Ave, Selma, AL 36701 Phone: 334-872-6296 Fax: 334-872-5000 | |
Dr. Jeffery B. Ford And Assoc. Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1501 Al Highway 14 E, Selma, AL 36703 Phone: 334-874-8357 | |
Dr. Yolanda Taylor-rose, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2401 Medical Center Pkwy, Selma, AL 36701 Phone: 334-872-2321 Fax: 334-872-2391 |