Tupelo Eye Clinic | |
610 Brunson Dr, Tupelo, MS 38801-4947 | |
(662) 844-7211 | |
Not Available |
Full Name | Tupelo Eye Clinic |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 610 Brunson Dr, Tupelo, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447468368 | NPI | - | NPPES |
00001062 | Medicaid | MS | |
00016336 | Medicaid | MS | |
00111812 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 698 (Mississippi) | Secondary |
174400000X | Specialist | 12479 (Mississippi) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | William Brawner |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1053302125 PECOS PAC ID: 7911081252 Enrollment ID: I20080226000561 |
Provider Name | Joseph Chappell |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1457341729 PECOS PAC ID: 2163324948 Enrollment ID: I20080227000149 |
Provider Name | Lee H Walker |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1720342108 PECOS PAC ID: 1254624695 Enrollment ID: I20160722002164 |
Provider Name | Ashley Noel Pickering |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1144727298 PECOS PAC ID: 4486908894 Enrollment ID: I20230308000715 |
Mailing Address | Practice Location Address |
---|---|
Tupelo Eye Clinic 610 Brunson Dr, Tupelo, MS 38801-4947 Ph: (662) 844-7211 | Tupelo Eye Clinic 610 Brunson Dr, Tupelo, MS 38801-4947 Ph: (662) 844-7211 |