| The Eyecare Place Llc | |
|
42 Old Jackson Rd, Mcdonough, GA 30252-3029 | |
| (678) 782-7952 | |
| (678) 782-7954 |
| Full Name | The Eyecare Place Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 42 Old Jackson Rd, Mcdonough, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861871725 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT001522 (Georgia) | Primary |
| 156FX1800X | Technician/technologist - Optician | LDO002144 (Georgia) | Secondary |
| Provider Name | Stacey Wilmot |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235391459 PECOS PAC ID: 8729151741 Enrollment ID: I20120124000956 |
| Mailing Address | Practice Location Address |
|---|---|
| The Eyecare Place Llc 42 Old Jackson Rd, Mcdonough, GA 30252-3029 Ph: (678) 782-7952 | The Eyecare Place Llc 42 Old Jackson Rd, Mcdonough, GA 30252-3029 Ph: (678) 782-7952 |
Dr. Humberto C. Fallas, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 69 Griffin St, Mcdonough, GA 30253 Phone: 770-954-9898 Fax: 770-954-9147 | |
Dr. Paul Keith White, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 135 Willow Ln, Mcdonough, GA 30253 Phone: 678-432-3093 | |
Dr. Gregory Wayne Peck, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1765 Jonesboro Rd, Mcdonough, GA 30253 Phone: 770-914-6781 Fax: 770-914-6874 | |
Dr Paul White Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 135 Willow Ln, Mcdonough, GA 30253 Phone: 678-432-3093 | |
Carlos M Llabres, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1862 Jonesboro Rd, Mcdonough, GA 30253 Phone: 678-432-1584 Fax: 678-432-6258 | |
Dr. Gabriel Russell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1044 Avalon Pkwy, Mcdonough, GA 30253 Phone: 770-898-7078 Fax: 770-898-7160 | |
Dr. Joelle Jean-jacques, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1044 Avalon Pkwy, Mcdonough, GA 30253 Phone: 770-898-7078 Fax: 770-898-7160 |