| Dr Holly Renee Booth, OD | |
|
1502 Cumberland Ave, Middlesboro, KY 40965-1223 | |
| (606) 248-0932 | |
| (606) 248-1384 |
| Full Name | Dr Holly Renee Booth |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 19 Years |
| Location | 1502 Cumberland Ave, Middlesboro, Kentucky |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194749473 | NPI | - | NPPES |
| 1673DT | Other | KY | STATE LICENSE NUMBER |
| 1231987 | Other | CHA PROVIDER NUMBER | |
| 010332605 | Medicaid | VA | |
| 134506 | Other | VISION CARE PIN NUMBER | |
| 000000492097 | Other | KY | ANTHEM PIN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1673DT (Kentucky) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| William F. Metzger, Psc | 7911923800 | 11 |
| Elite Vision Center Llc | 8628238995 | 2 |
| Provider Name | William F. Metzger, Psc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174657993 PECOS PAC ID: 7911923800 Enrollment ID: O20051020000189 |
| Provider Name | Elite Vision Center Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1295008803 PECOS PAC ID: 8628238995 Enrollment ID: O20120322000720 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Holly Renee Booth, OD 1502 Cumberland Ave, Middlesboro, KY 40965-1223 Ph: (606) 248-0932 | Dr Holly Renee Booth, OD 1502 Cumberland Ave, Middlesboro, KY 40965-1223 Ph: (606) 248-0932 |
Southeast Eye Associates, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1403 Cumberland Ave, Suite A, Box 979, Middlesboro, KY 40965 Phone: 606-248-2549 Fax: 606-248-9188 | |
Dr. Lisa Sanford Howard, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1403 Cumberland Ave, Ste A, Middlesboro, KY 40965 Phone: 606-248-2549 Fax: 606-248-9188 | |
Lee Cain Od Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2145 Us Highway 25 E, Middlesboro, KY 40965 Phone: 606-248-3582 | |
Dr. Michelle A Garrett, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1403 Cumberland Ave, Suite A, Middlesboro, KY 40965 Phone: 606-248-2549 Fax: 606-248-9188 | |
Mr. Todd Marvin Mcgeorge, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1431 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-248-7772 Fax: 606-248-0575 | |
Tri-state Centers For Sight Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1431 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-248-7772 Fax: 606-248-0575 |