| Kelli Jackson | |
|
114 Stuart Rd Ne, #102, Cleveland, TN 37312-4803 | |
| (252) 985-1371 | |
| Not Available |
| Full Name | Kelli Jackson |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 114 Stuart Rd Ne, Cleveland, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619092574 | NPI | - | NPPES |
| P00265658 | Other | TN | RAILROAD MEDICARE |
| 3940088 | Medicaid | TN | |
| 4134928 | Other | TN | BCBS PROVIDER NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1566 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Jackson Po Box 7396, Rocky Mount, NC 27804-0396 Ph: () - | Kelli Jackson 114 Stuart Rd Ne, #102, Cleveland, TN 37312-4803 Ph: (252) 985-1371 |
Robert Patterson Optometrist Medicare: Not Enrolled in Medicare Practice Location: 114 Stuart Rd Ne, #102, Cleveland, TN 37312 Phone: 252-985-1371 | |
Lori Huskins Balmer, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3103 Ocoee St N, Cleveland, TN 37312 Phone: 423-479-4174 | |
Cox Vision Center Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 114 Stuart Rd Ne, #102, Cleveland, TN 37312 Phone: 423-929-2020 | |
Dr. Paul Michael Flanagan, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2300 Treasury Dr Se, Cleveland, TN 37323 Phone: 423-472-3484 | |
Dr. Samuel Harvey Horner Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 40 2nd St Nw, Cleveland, TN 37311 Phone: 423-476-5341 Fax: 423-472-0321 | |
Christopher Eugene Muegge, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2020 Keith St Nw, Cleveland, TN 37311 Phone: 423-472-6517 Fax: 423-476-8578 | |
Lavanya Tammareddi Optometrist Medicare: Not Enrolled in Medicare Practice Location: 114 Stuart Rd Ne, #102, Cleveland, TN 37312 Phone: 615-329-0000 |