| Dr Jack Benjamin Brumberg, OD | |
| 1030 13th St, Columbus, GA 31901-2240 | |
| (706) 327-3937 | |
| (706) 596-6658 | 
| Full Name | Dr Jack Benjamin Brumberg | 
|---|---|
| Gender | Male | 
| Speciality | Optometrist | 
| Location | 1030 13th St, Columbus, Georgia | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821022443 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 152W00000X | Optometrist | OPT000993 (Georgia) | Primary | 
| Provider Name | Depoe Eye Center Pc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1073730263 PECOS PAC ID: 8224927702 Enrollment ID: O20040312000618 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dr Jack Benjamin Brumberg, OD 1030 13th St, Columbus, GA 31901-2240 Ph: (706) 327-3937 | Dr Jack Benjamin Brumberg, OD 1030 13th St, Columbus, GA 31901-2240 Ph: (706) 327-3937 | 
| Wayne Paul Gasser, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6490 Veterans Pkway, Columbus, GA 31909 Phone: 706-653-6202 Fax: 706-653-9204 | |
| Dr. Timothy Adkins Ross, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4521 17th Ave, Columbus, GA 31904 Phone: 706-660-0191 Fax: 706-596-8388 | |
| Matthew Barrett,  Optometrist Medicare: Medicare Enrolled Practice Location: 2501 Whittlesey Blvd, Suite A, Columbus, GA 31909 Phone: 706-507-3937 Fax: 706-507-3929 | |
| Myeyedr Optometry Of Georgia, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6490 Veterans Pkwy, Columbus, GA 31909 Phone: 706-653-6200 | |
| Dr. Walter Lee Jackson Ii, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2616 Warm Springs Road, Columbus, GA 31904 Phone: 706-507-7530 Fax: 706-221-9797 | |
| Diamond Vision, Inc. Optometrist Medicare: Medicare Enrolled Practice Location: 2501 Whittlesey Boulevard, Suite A, Columbus, GA 31909 Phone: 706-507-3937 Fax: 706-507-3929 | |
| Myeyedr Optometry Of Georgia, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4521 17th Ave, Columbus, GA 31904 Phone: 706-660-0191 Fax: 706-596-8388 |