| Dr Craig Webster Cleveland, OD | |
|
202 N 2nd St, Booneville, MS 38829-2702 | |
| (662) 728-6191 | |
| (662) 728-9430 |
| Full Name | Dr Craig Webster Cleveland |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 202 N 2nd St, Booneville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396859054 | NPI | - | NPPES |
| 00880096 | Medicaid | MS | |
| 06985007 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 532 (Mississippi) | Primary |
| Provider Name | Craig W. Cleveland, O.d., P.a.. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1487784518 PECOS PAC ID: 3577684430 Enrollment ID: O20110118000154 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Craig Webster Cleveland, OD 202 N 2nd St, Booneville, MS 38829-2702 Ph: (662) 728-6191 | Dr Craig Webster Cleveland, OD 202 N 2nd St, Booneville, MS 38829-2702 Ph: (662) 728-6191 |
Adam Tate Hill, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 108 South Main Street, Booneville, MS 38829 Phone: 662-720-1910 Fax: 662-720-1929 | |
Hill Family Eye Center, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 108 S Main St, Booneville, MS 38829 Phone: 662-720-1910 | |
Craig W. Cleveland, O.d., P.a. Optometrist Medicare: Medicare Enrolled Practice Location: 202 N 2nd St, Booneville, MS 38829 Phone: 662-728-6191 Fax: 662-728-9430 |