| Total Eye Care Of Fulton P.a. | |
|
1310 E Walker St Fulton MS 38843 | |
| (662) 862-6727 | |
| Not Available |
| Full Name | Total Eye Care Of Fulton P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1310 E Walker St, Fulton, Mississippi |
| Authorized Official Name and Position | Josh Hatfield (OWNER/OPTOMETRIST) |
| Authorized Official Contact | 6628626727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Total Eye Care Of Fulton P.a. Po Box 356 Fulton MS 38843-0356 Ph: () - | Total Eye Care Of Fulton P.a. 1310 E Walker St Fulton MS 38843 Ph: (662) 862-6727 |
| NPI Number | 1043585953 |
|---|---|
| Provider Enumeration Date | 03/12/2012 |
| Last Update Date | 03/12/2012 |
| Medicare PECOS PAC ID | 9537305610 |
|---|---|
| Medicare Enrollment ID | O20130416000075 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043585953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 808 (Mississippi) | Primary |
| Provider Name | Joshua M Hatfield |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1740416429 PECOS PAC ID: 4284759580 Enrollment ID: I20100909000899 |
| Provider Name | Katie Elizabeth Richardson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1598218752 PECOS PAC ID: 1456647536 Enrollment ID: I20160916000410 |
| Provider Name | Michael Sayonh |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1497320105 PECOS PAC ID: 7911302385 Enrollment ID: I20210823002761 |
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