Brandon David Southern, OD | |
1061 Harmon Ave, Fort Stewart, GA 31314-5641 | |
(912) 435-6965 | |
Not Available |
Full Name | Brandon David Southern |
---|---|
Gender | Male |
Speciality | Optometrist |
Location | 1061 Harmon Ave, Fort Stewart, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942850045 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 18004179A (Indiana) | Primary |
Provider Name | Tom Sowash Od & Associates Pc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174627202 PECOS PAC ID: 4284606088 Enrollment ID: O20040811001137 |
Mailing Address | Practice Location Address |
---|---|
Brandon David Southern, OD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 | Brandon David Southern, OD 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-6965 |
Patrick M Riner Od Pc Optometrist Medicare: Medicare Enrolled Practice Location: 345 Lindquist Rd Bldg 71, Fort Stewart, GA 31314 Phone: 912-876-1106 | |
Dr. Susan Mazuji Sloan, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Optometry, Winn Army Community Hospital, Fort Stewart, GA 31314 Phone: 912-435-6155 | |
Dr. Kevin P O'connor, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 913-435-6965 | |
Dr. Patrick Dee Starrett, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Usameddac, Fort Stewart, GA 31314 Phone: 912-435-5948 Fax: 912-435-5950 | |
Dr. Andrew R Gregory, O.D., M.H.A., M.B.A. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Clinical Operations, Fort Stewart, GA 31314 Phone: 912-435-6567 | |
Peter Thomas, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Dr. Matthew Christian Geiman, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314 Phone: 912-435-6155 |