| Tonya Cannon Stewart, Od, Pllc | |
|
45 West Lakeview Drive, Clinton, MS 39056-5221 | |
| (601) 925-2020 | |
| (601) 925-2010 |
| Full Name | Tonya Cannon Stewart, Od, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 45 West Lakeview Drive, Clinton, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093955262 | NPI | - | NPPES |
| 410000282 | Other | MS | MEDICARE ID- |
| 00880126 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 640 (Mississippi) | Primary |
| Provider Name | Tonya C Stewart |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1962509620 PECOS PAC ID: 1557264405 Enrollment ID: I20090323000179 |
| Provider Name | Bomee Kim |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114467172 PECOS PAC ID: 1951687490 Enrollment ID: I20191108002749 |
| Provider Name | Hilarie N Holt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508351628 PECOS PAC ID: 9234549668 Enrollment ID: I20201113000473 |
| Provider Name | Mary B Garber |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831879592 PECOS PAC ID: 5294198651 Enrollment ID: I20230831004378 |
| Mailing Address | Practice Location Address |
|---|---|
| Tonya Cannon Stewart, Od, Pllc 45 West Lakeview Drive, Clinton, MS 39056-5221 Ph: (601) 925-2020 | Tonya Cannon Stewart, Od, Pllc 45 West Lakeview Drive, Clinton, MS 39056-5221 Ph: (601) 925-2020 |
Optical 2000 Optometrist Medicare: Medicare Enrolled Practice Location: 815 Highway 80 E, Clinton, MS 39056 Phone: 601-924-4444 Fax: 601-924-4100 | |
Ramonica Lewis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 950 Highway 80 E, Clinton, MS 39056 Phone: 601-924-7882 Fax: 601-924-7883 | |
Joshua C Massey, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 929 Highway 80 E, Clinton, MS 39056 Phone: 601-924-7274 | |
Bobby C Pankey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 Cynthia St, Clinton, MS 39056 Phone: 601-924-4444 Fax: 601-924-4100 | |
Ija Development Firm Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 123a Highway 80 E, Clinton, MS 39056 Phone: 601-519-1709 | |
Dr. Emma Claire Byers, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 45 Lakeview Dr, Clinton, MS 39056 Phone: 601-925-2020 |