| Professional Eyecare Associates And Optical Pllc | |
|
2118 E Main St, Humboldt, TN 38343-3054 | |
| (731) 784-1973 | |
| (731) 784-9545 |
| Full Name | Professional Eyecare Associates And Optical Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2118 E Main St, Humboldt, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386821981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODT2544 (Tennessee) | Primary |
| Provider Name | Larry L Nicholson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1053313338 PECOS PAC ID: 8325019391 Enrollment ID: I20040803001375 |
| Provider Name | Dustin K Utley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982832838 PECOS PAC ID: 3072668300 Enrollment ID: I20090909000679 |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Eyecare Associates And Optical Pllc 2118 E Main St, Humboldt, TN 38343-3054 Ph: (731) 784-1973 | Professional Eyecare Associates And Optical Pllc 2118 E Main St, Humboldt, TN 38343-3054 Ph: (731) 784-1973 |
Myeyedr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2439 N Central Ave, Humboldt, TN 38343 Phone: 731-784-1186 Fax: 731-784-0601 | |
Dr. David Michael Orwig, O D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2439 N Central Ave, Humboldt, TN 38343 Phone: 731-784-1186 Fax: 731-784-0601 | |
Dr. Bethany Mayo Bearden, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2716 N Central Ave, Humboldt, TN 38343 Phone: 731-784-9409 Fax: 731-784-9418 | |
Eye Care Group, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2439 N Central Ave, Humboldt, TN 38343 Phone: 731-784-1186 Fax: 731-784-8228 | |
Heather Ann Hope, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 2118 E Main St, Humboldt, TN 38343 Phone: 731-784-1973 Fax: 731-784-9545 | |
Dustin Kyle Utley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2118 E Main St, Humboldt, TN 38343 Phone: 731-784-1973 |