| Benjamin Russell Fraysur, | |
|
7148 U S Highway 98 Ste 201, Hattiesburg, MS 39402-9133 | |
| (601) 271-2020 | |
| Not Available |
| Full Name | Benjamin Russell Fraysur |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 7148 U S Highway 98 Ste 201, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629833298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1099 (Mississippi) | Primary |
| Provider Name | Hattiesburg Clinic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740213446 PECOS PAC ID: 5193706794 Enrollment ID: O20040528000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Russell Fraysur, 415 S 28th Ave, Hattiesburg, MS 39401-7246 Ph: (601) 264-6000 | Benjamin Russell Fraysur, 7148 U S Highway 98 Ste 201, Hattiesburg, MS 39402-9133 Ph: (601) 271-2020 |
Dr. Katherine Elizabeth Reynolds, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2901 Arlington Loop, Hattiesburg, MS 39401 Phone: 601-268-5144 Fax: 601-268-5149 | |
Dr. George Alex Marchbanks, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Turtle Creek Drive, Suite #450, Hattiesburg, MS 39402 Phone: 601-261-2223 | |
Alicea Hill, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6 Ridgeside, Hattiesburg, MS 39402 Phone: 601-942-7996 | |
Megan Sumrall, Od, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7127 Highway 98, Suite 30, Hattiesburg, MS 39402 Phone: 601-470-2020 Fax: 800-493-5956 | |
Hilari Mcfarland, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6096 U S Highway 98 Ste 1a, Hattiesburg, MS 39402 Phone: 601-261-2467 Fax: 601-296-6685 | |
Dr. Deborah J Marcev, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3901 Hardy St, Ste. 130, Hattiesburg, MS 39402 Phone: 601-261-3383 Fax: 601-268-5515 | |
Eye Examiners, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 6117 U S Highway 98 Ste 20, Hattiesburg, MS 39402 Phone: 601-264-2006 Fax: 601-264-9030 |