| Wells Vision Llc | |
|
960 Brookway Blvd, Brookhaven, MS 39601-2644 | |
| (601) 823-4494 | |
| Not Available |
| Full Name | Wells Vision Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 960 Brookway Blvd, Brookhaven, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164920484 | NPI | - | NPPES |
| 04802528 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 916 (Mississippi) | Primary |
| Provider Name | Channing Wells |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1326438706 PECOS PAC ID: 7618228768 Enrollment ID: I20180928001237 |
| Mailing Address | Practice Location Address |
|---|---|
| Wells Vision Llc 1390 Moses Rd, Raymond, MS 39154-8943 Ph: (601) 946-5492 | Wells Vision Llc 960 Brookway Blvd, Brookhaven, MS 39601-2644 Ph: (601) 823-4494 |
Smith Eye Care Pc Optometrist Medicare: Medicare Enrolled Practice Location: 211 N Whitworth Ave, Brookhaven, MS 39601 Phone: 601-833-4431 Fax: 601-833-1007 | |
Dr. Chad P Smith, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 211 N Whitworth Ave, Brookhaven, MS 39601 Phone: 601-833-4431 Fax: 601-833-1007 | |
Dr. Sheryl Watson Lee, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 960 Brookway Blvd, Brookhaven, MS 39601 Phone: 601-823-4494 Fax: 601-823-4551 | |
Dr. Tressie Hall, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 301 Highway 51 S, Suite B, Brookhaven, MS 39601 Phone: 601-833-6000 Fax: 601-833-0404 | |
Dr. Mark P Smith, OD Optometrist Medicare: Medicare Enrolled Practice Location: 211 North Whitworth Ave, Brookhaven, MS 39601 Phone: 601-833-4431 Fax: 601-833-1007 |