Southern Eyecare, P.c. | |
25 Cross St, Hazlehurst, GA 31539-6427 | |
(912) 375-2516 | |
(912) 379-0755 |
Full Name | Southern Eyecare, P.c. |
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Type | Facility |
Speciality | Optometrist |
Location | 25 Cross St, Hazlehurst, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407029465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | OPT001506 (Georgia) | Primary |
152W00000X | Optometrist | OPT002403 (Georgia) | Secondary |
Provider Name | Michael L Mason |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1982686564 PECOS PAC ID: 3476625013 Enrollment ID: I20080626000475 |
Provider Name | Jason Kyle Varnadoe |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1063852754 PECOS PAC ID: 2264655315 Enrollment ID: I20140519001795 |
Mailing Address | Practice Location Address |
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Southern Eyecare, P.c. P O Box 430, 25 Cross St, Hazlehurst, GA 31539-0430 Ph: (912) 375-2516 | Southern Eyecare, P.c. 25 Cross St, Hazlehurst, GA 31539-6427 Ph: (912) 375-2516 |
Dr. Jason Kyle Varnadoe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 Cross St, Hazlehurst, GA 31539 Phone: 912-375-2516 Fax: 912-379-0755 | |
Dr. Michael Lloyd Mason, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 Cross St, Hazlehurst, GA 31539 Phone: 912-375-2516 Fax: 912-379-0755 |