| Angela M Thomas, O.d., Inc. | |
|
59 Veterans Memorial Dr, Kosciusko, MS 39090-3433 | |
| (662) 289-1067 | |
| (662) 289-1058 |
| Full Name | Angela M Thomas, O.d., Inc. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 59 Veterans Memorial Dr, Kosciusko, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114110996 | NPI | - | NPPES |
| 00087013 | Medicaid | MS | |
| P00065350 | Other | MS | RAIL ROAD MEDICARE- |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 562 (Mississippi) | Primary |
| Provider Name | Tara L Dew |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1265622971 PECOS PAC ID: 3678653094 Enrollment ID: I20080110000201 |
| Provider Name | Angela M Thomas |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669535761 PECOS PAC ID: 9638269954 Enrollment ID: I20101025000325 |
| Provider Name | Anna Middleton |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093093965 PECOS PAC ID: 6507037009 Enrollment ID: I20110913000673 |
| Mailing Address | Practice Location Address |
|---|---|
| Angela M Thomas, O.d., Inc. Po Box 778, Kosciusko, MS 39090-0778 Ph: (662) 289-1067 | Angela M Thomas, O.d., Inc. 59 Veterans Memorial Dr, Kosciusko, MS 39090-3433 Ph: (662) 289-1067 |
Dr. Anna Taylor Middleton, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 59 Veterans Memorial Dr, Kosciusko, MS 39090 Phone: 662-289-1067 | |
Attala Eye, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 337 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-9581 | |
Dr. Lawrence Adrian Routt Sr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 S Natchez St, Kosciusko, MS 39090 Phone: 662-289-4131 Fax: 662-289-5348 | |
Dr. Tara Leanne Dew, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 59 Veterans Memorial Dr, Ste. B, Kosciusko, MS 39090 Phone: 662-289-1067 | |
Lauren Robertson Eaton, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 337 Highway 12 W, Kosciusko, MS 39090 Phone: 662-289-9581 Fax: 662-289-9967 | |
Dr. Angela M Thomas, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 59 Veterans Memorial Dr, Suite B, Kosciusko, MS 39090 Phone: 662-289-1067 Fax: 662-289-1058 |