| Southern Eye Care Of Forest | |
|
143 W Third St, Forest, MS 39074-4103 | |
| (601) 267-9351 | |
| (601) 267-9004 |
| Full Name | Southern Eye Care Of Forest |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 143 W Third St, Forest, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306254057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 605 (Mississippi) | Primary |
| Provider Name | Bradley Thompson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952432262 PECOS PAC ID: 2860576600 Enrollment ID: I20080303000697 |
| Provider Name | Randy D Eason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417048620 PECOS PAC ID: 3173698545 Enrollment ID: I20080819000806 |
| Provider Name | Royce V Miles |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1083266498 PECOS PAC ID: 2062740335 Enrollment ID: I20190823002310 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Eye Care Of Forest 143 W Third St, Forest, MS 39074-4103 Ph: (601) 267-9351 | Southern Eye Care Of Forest 143 W Third St, Forest, MS 39074-4103 Ph: (601) 267-9351 |
Mississippi Eye Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1309 Highway 35 S, Forest, MS 39074 Phone: 404-481-7931 | |
James E. Wright, Jr., O.d., P.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 143 W Third St, Forest, MS 39074 Phone: 601-469-3441 Fax: 601-469-3449 | |
Dr. Randy Dawayne Eason, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 516 Airport Rd, Forest, MS 39074 Phone: 601-469-2020 Fax: 601-469-5686 | |
Dr. Alexandria Bahl, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1309 Highway 35 S, Forest, MS 39074 Phone: 601-469-5656 Fax: 601-469-5656 | |
Bradley M. Thompson, O.d.,p.a. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 143 W Third St, Forest, MS 39074 Phone: 601-469-3441 Fax: 601-469-3449 | |
Alex Bahl Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1309 Highway 35 S, Forest, MS 39074 Phone: 601-469-5656 Fax: 601-469-2958 |