| Dr Kyley Mitchell, OD | |
|
105 E Market St, Somerville, TN 38068-1407 | |
| (901) 465-3955 | |
| Not Available |
| Full Name | Dr Kyley Mitchell |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 105 E Market St, Somerville, Tennessee |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962012369 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3626 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mitchell Eye Center, Pllc | 2961758222 | 3 |
| Jessup Mobile Opt Tn Llc | 3476898073 | 6 |
| Provider Name | Mitchell Eye Center, Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235633199 PECOS PAC ID: 2961758222 Enrollment ID: O20180629000463 |
| Provider Name | Jessup Mobile Opt Tn Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1740763325 PECOS PAC ID: 3476898073 Enrollment ID: O20190102000685 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Kyley Mitchell, OD 3775 Walnut Grove Rd, Bolivar, TN 38008-8018 Ph: () - | Dr Kyley Mitchell, OD 105 E Market St, Somerville, TN 38068-1407 Ph: (901) 465-3955 |
Charles P. Haddad O.d. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 East Market Street, Somerville, TN 38068 Phone: 901-465-3955 | |
Gregory Reeves Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 East Market Street, Somerville, TN 38068 Phone: 901-465-3955 Fax: 901-465-6797 | |
Dr. Charles P Haddad, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 E Market St, Somerville, TN 38068 Phone: 901-465-3955 Fax: 901-465-6797 | |
Gregory Reeves, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 105 E Market St, Somerville, TN 38068 Phone: 901-465-3955 Fax: 901-465-6797 | |
Reeves Mobile Od Tn Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 105 E Market St, Somerville, TN 38068 Phone: 502-244-2441 |