| Dr Michael R Braden, OD | |
|
1725 W Everly Brothers Blvd, Central City, KY 42330-1833 | |
| (270) 754-4483 | |
| (270) 754-4909 |
| Full Name | Dr Michael R Braden |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 1725 W Everly Brothers Blvd, Central City, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053479485 | NPI | - | NPPES |
| 77013118 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1311DT (Kentucky) | Primary |
| Provider Name | Family First Vision Care Kentucky Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396396750 PECOS PAC ID: 3577975291 Enrollment ID: O20201221002707 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael R Braden, OD 5420 State Route 764, Whitesville, KY 42378-9641 Ph: (270) 313-8717 | Dr Michael R Braden, OD 1725 W Everly Brothers Blvd, Central City, KY 42330-1833 Ph: (270) 754-4483 |
Tyler Neal Mayes, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1601 W Everly Brothers Blvd, Central City, KY 42330 Phone: 270-754-4515 Fax: 270-754-2547 | |
Dr. Freddie Michael Mayes, OD OPTOMETRIST Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1601 West Everly Brothers Blvd, Central City, KY 42330 Phone: 270-754-4515 Fax: 270-754-2547 |