| Tupelo Vision Center | |
|
3929 N Gloster St, Tupelo, MS 38804-0915 | |
| (662) 840-4624 | |
| Not Available |
| Full Name | Tupelo Vision Center |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 3929 N Gloster St, 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 |
|---|---|---|---|
| 1407825037 | NPI | - | NPPES |
| 03888791 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 487 (Mississippi) | Primary |
| 152WC0802X | Optometrist - Corneal And Contact Management | TPA 94061 (Mississippi) | Secondary |
| Provider Name | Kathryn M Mccullough |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558542779 PECOS PAC ID: 5395789580 Enrollment ID: I20050617000958 |
| Provider Name | Michael Burks Mccullough |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1639656523 PECOS PAC ID: 9931528759 Enrollment ID: I20200929000556 |
| Mailing Address | Practice Location Address |
|---|---|
| Tupelo Vision Center 1028 Fawn Dr, Tupelo, MS 38804-1924 Ph: (662) 840-4624 | Tupelo Vision Center 3929 N Gloster St, Tupelo, MS 38804-0915 Ph: (662) 840-4624 |
Vision Care, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 3437 Tupelo Commons, Suite 101, Tupelo, MS 38804 Phone: 662-842-2000 Fax: 662-842-0379 | |
Dr. Steve Beaty, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 837 Kings Crossing Dr Ste 10, Tupelo, MS 38804 Phone: 662-269-4175 Fax: 662-269-4176 | |
Dr. Joe Chaddrick Kea, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3437 Tupelo Commons, Suite 101, Tupelo, MS 38804 Phone: 662-842-2000 Fax: 662-842-0379 | |
Dr. Allison Burks Norwood, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 837 Kings Crossing Dr Ste 10, Tupelo, MS 38804 Phone: 662-842-3037 Fax: 662-842-3869 | |
Wedo Eyes Llc Optometrist Medicare: Medicare Enrolled Practice Location: 3833 N Gloster St, Tupelo, MS 38804 Phone: 662-269-0856 Fax: 662-269-0856 | |
Dr. William M Dickerson Jr., OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 322 West Main, Tupelo, MS 38802 Phone: 662-842-6634 Fax: 662-842-6626 | |
Joshua Hunter Wilson, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3833 N Gloster St, Tupelo, MS 38804 Phone: 662-269-0856 Fax: 662-269-0856 |