| Eye Clinic Of Houston | |
|
812 N Jackson St, Houston, MS 38851-1203 | |
| (662) 456-2020 | |
| (662) 456-3494 |
| Full Name | Eye Clinic Of Houston |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 812 N Jackson St, Houston, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548314818 | NPI | - | NPPES |
| 09013893 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 580 (Mississippi) | Primary |
| Provider Name | George Allan Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1518021872 PECOS PAC ID: 9133121007 Enrollment ID: I20110125000859 |
| Provider Name | Samantha Beaty |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1952485112 PECOS PAC ID: 1759795453 Enrollment ID: I20210120001859 |
| Provider Name | Taylor E O'daniel |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1689354417 PECOS PAC ID: 4880058791 Enrollment ID: I20230912000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Clinic Of Houston 812 N Jackson St, Houston, MS 38851-1203 Ph: (662) 456-2020 | Eye Clinic Of Houston 812 N Jackson St, Houston, MS 38851-1203 Ph: (662) 456-2020 |
George A Powell, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 812 N Jackson St, Houston, MS 38851 Phone: 662-456-2020 Fax: 662-456-3494 |