| Dr Jamie Dale Cornett, OD | |
|
42d Medical Group, 300 S. Twining St. Bldg. 760, Maxwell Afb, AL 36113 | |
| (334) 953-3368 | |
| (334) 953-8607 |
| Full Name | Dr Jamie Dale Cornett |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 42d Medical Group, Maxwell Afb, Alabama |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164482956 | NPI | - | NPPES |
| 1679 | Other | KS | OPTOMETRY LICENSE |
| 18003253A | Other | IN | OPTOMETRY LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1679 (Kansas) | Secondary |
| 152W00000X | Optometrist | 18003253A (Indiana) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jamie Dale Cornett, OD 42d Medical Group, 300 S. Twining St. Bldg. 760, Maxwell Afb, AL 36113 Ph: (334) 953-3368 | Dr Jamie Dale Cornett, OD 42d Medical Group, 300 S. Twining St. Bldg. 760, Maxwell Afb, AL 36113 Ph: (334) 953-3368 |
Kaylaen Dittmer Evans, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-9150 | |
Weilun Hsu, Optometrist Medicare: Medicare Enrolled Practice Location: 300 Twining Street, Maxwell Afb, AL 36112 Phone: 334-953-5143 Fax: 334-953-8296 | |
Dr. Jeffrey A Newsom, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 42d Medical Group, 300 S. Twining St, Bldg 760, Maxwell Afb, AL 36112 Phone: 334-953-5200 Fax: 877-813-1756 |