| Byhalia Vision Center Llc | |
|
8250 Hwy 178 West, Byhalia, MS 38611-6776 | |
| (662) 850-1051 | |
| (662) 850-1053 |
| Full Name | Byhalia Vision Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 8250 Hwy 178 West, Byhalia, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952965022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Jonathan Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881738532 PECOS PAC ID: 7315901592 Enrollment ID: I20080303000201 |
| Provider Name | Michael E Obrien |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1306925029 PECOS PAC ID: 1153405030 Enrollment ID: I20080306000398 |
| Provider Name | Kellie M Jones |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790185999 PECOS PAC ID: 0042528366 Enrollment ID: I20151006000566 |
| Provider Name | Ty H Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992282529 PECOS PAC ID: 7911241773 Enrollment ID: I20181205000242 |
| Provider Name | Christina Marie Brown |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700918729 PECOS PAC ID: 4789754656 Enrollment ID: I20231009000174 |
| Mailing Address | Practice Location Address |
|---|---|
| Byhalia Vision Center Llc 1890 Goodman Rd E Ste 100, Southaven, MS 38671-9504 Ph: (662) 772-5882 | Byhalia Vision Center Llc 8250 Hwy 178 West, Byhalia, MS 38611-6776 Ph: (662) 850-1051 |