Randall Mann, OD | |
104 S Front Ave, Prestonsburg, KY 41653-1614 | |
(606) 886-8572 | |
(606) 886-4433 |
Full Name | Randall Mann |
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Gender | Male |
Speciality | Optometrist |
Location | 104 S Front Ave, Prestonsburg, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790885416 | NPI | - | NPPES |
77012185 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1218DT (Kentucky) | Primary |
Provider Name | Professional Eyecare, P.s.c. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639203474 PECOS PAC ID: 6002834629 Enrollment ID: O20051102000779 |
Provider Name | Arh Tug Valley Health Services, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1639949696 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
Mailing Address | Practice Location Address |
---|---|
Randall Mann, OD 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 | Randall Mann, OD 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 |
Cydney Paige Branham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 338 N Arnold Ave, Prestonsburg, KY 41653 Phone: 606-886-2020 | |
Nordin Eye Center, Psc Optometrist Medicare: Medicare Enrolled Practice Location: 929 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-6774 Fax: 606-886-6628 | |
Frontier Vision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 400 University Dr Ste 100, Prestonsburg, KY 41653 Phone: 606-889-6522 Fax: 606-889-6453 |