Riverbend Eyecare, P.a. | |
3505 Pemberton Square Blvd, Suite 45, Vicksburg, MS 39180-5537 | |
(601) 630-9199 | |
(601) 630-0426 |
Full Name | Riverbend Eyecare, P.a. |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 3505 Pemberton Square Blvd, Vicksburg, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811957624 | NPI | - | NPPES |
00880004 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | MS579 (Mississippi) | Primary |
Provider Name | David L Prudhomme |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1093901761 PECOS PAC ID: 7214066463 Enrollment ID: I20100526000409 |
Provider Name | Hilary M Parrish |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1811242357 PECOS PAC ID: 8325298185 Enrollment ID: I20121101000499 |
Mailing Address | Practice Location Address |
---|---|
Riverbend Eyecare, P.a. 3505 Pemberton Square Blvd, Suite 45, Vicksburg, MS 39180-5537 Ph: (601) 630-9199 | Riverbend Eyecare, P.a. 3505 Pemberton Square Blvd, Suite 45, Vicksburg, MS 39180-5537 Ph: (601) 630-9199 |
Dr. David Lawrence Prudhomme, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3505 Pemberton Square Blvd, Suite 45, Vicksburg, MS 39180 Phone: 601-630-9199 Fax: 601-630-9192 | |
Dr. Kelby Warren Flemons, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 | |
Collins Eye Clinic Inc Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 Fax: 601-638-2171 | |
Dr. Jill Frier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2152 Iowa Blvd, Vicksburg, MS 39180 Phone: 601-636-3937 Fax: 601-638-0944 | |
Miles David Ashley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1808 Mission 66, Vicksburg, MS 39180 Phone: 601-636-6364 Fax: 601-636-1162 | |
Southern Eye Care Of Vicksburg Pa Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 | |
Dr. C. Chris Collins, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 Fax: 601-638-2171 |