| Elite Vision Center Llc | |
|
1403 Cumberland Ave, Suite A, Middlesboro, KY 40965-1158 | |
| (606) 248-2549 | |
| (606) 248-9188 |
| Full Name | Elite Vision Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1403 Cumberland Ave, Middlesboro, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295008803 | NPI | - | NPPES |
| 7100202310 | Medicaid | KY | |
| 1526915 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | KY 1711 (Kentucky) | Primary |
| Provider Name | Holly Booth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194749473 PECOS PAC ID: 1759381684 Enrollment ID: I20061228000002 |
| Provider Name | Kyle M Barnes |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982896593 PECOS PAC ID: 5698860229 Enrollment ID: I20070928000141 |
| Provider Name | Heather Lavallee |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679182448 PECOS PAC ID: 6305240839 Enrollment ID: I20210805002601 |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Vision Center Llc 1403 Cumberland Ave, Suite A, Middlesboro, KY 40965-1158 Ph: (606) 248-2549 | Elite Vision Center Llc 1403 Cumberland Ave, Suite A, Middlesboro, KY 40965-1158 Ph: (606) 248-2549 |
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: Accepting Medicare Assignments 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 | |
Dr. Holly Renee Booth, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1502 Cumberland Ave, Middlesboro, KY 40965 Phone: 606-248-0932 Fax: 606-248-1384 |