| W T Wood Od Pa | |
|
26 S Main St, Pontotoc, MS 38863-2811 | |
| (662) 489-5907 | |
| (662) 489-6928 |
| Full Name | W T Wood Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 26 S Main St, Pontotoc, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235300161 | NPI | - | NPPES |
| 00087916 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | MS495 (Mississippi) | Primary |
| Provider Name | William T Wood |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013030964 PECOS PAC ID: 0749352425 Enrollment ID: I20080714000122 |
| Provider Name | Miranda W Maynard |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497990048 PECOS PAC ID: 9537324025 Enrollment ID: I20120709000180 |
| Provider Name | Joseph Caleb Warren |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1023798725 PECOS PAC ID: 4082076765 Enrollment ID: I20230811001436 |
| Mailing Address | Practice Location Address |
|---|---|
| W T Wood Od Pa 26 S Main St, Pontotoc, MS 38863-2811 Ph: (662) 489-5907 | W T Wood Od Pa 26 S Main St, Pontotoc, MS 38863-2811 Ph: (662) 489-5907 |
Dr. William Terry Wood, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 26 South Main Street, Pontotoc, MS 38863 Phone: 662-489-5907 Fax: 662-489-6928 | |
Dr. Joseph Caleb Warren, OD Optometrist Medicare: Medicare Enrolled Practice Location: 26 S Main St, Pontotoc, MS 38863 Phone: 662-489-5907 Fax: 662-489-6928 | |
Philip R Graham & William J Optometrist Medicare: Not Enrolled in Medicare Practice Location: 14 E Marion St, Pontotoc, MS 38863 Phone: 662-489-4741 Fax: 662-489-2940 | |
Coccia Vision Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 100 Mccord Road, Pontotoc, MS 38863 Phone: 662-488-9021 Fax: 662-488-9022 | |
Dr. Philip Randle Graham, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 14 E Marion St, Pontotoc, MS 38863 Phone: 662-489-4741 Fax: 662-489-2940 | |
Dr. Miranda Wood Maynard, O.D Optometrist Medicare: May Accept Medicare Assignments Practice Location: 26 South Main Street, Pontotoc, MS 38863 Phone: 662-489-5907 |