Taylor Elizabeth O'daniel, | |
3126 E Roane Ave, Eupora, MS 39744-2638 | |
(662) 258-2020 | |
Not Available |
Full Name | Taylor Elizabeth O'daniel |
---|---|
Gender | Female |
Speciality | Optometrist |
Location | 3126 E Roane Ave, Eupora, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689354417 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 1074P-Y (Mississippi) | Primary |
Provider Name | Eye Clinic Of Eupora, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1033240825 PECOS PAC ID: 9931278561 Enrollment ID: O20080521000785 |
Provider Name | Eye Clinic Of West Point, Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1396879912 PECOS PAC ID: 6204990492 Enrollment ID: O20090203000459 |
Mailing Address | Practice Location Address |
---|---|
Taylor Elizabeth O'daniel, Po Box 225, Eupora, MS 39744-0225 Ph: (662) 258-2020 | Taylor Elizabeth O'daniel, 3126 E Roane Ave, Eupora, MS 39744-2638 Ph: (662) 258-2020 |
Eye Clinic Of Eupora, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3126 E Roane Ave, Eupora, MS 39744 Phone: 662-258-2020 Fax: 662-258-2030 | |
Dr. Charles P Tillman Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3126 E Roane Ave, Eupora, MS 39744 Phone: 662-258-2020 Fax: 662-258-2030 |