| Eye Partners Pc | |
|
2800 Ross Clark Circle, Dothan, AL 36301 | |
| (334) 793-2211 | |
| (334) 793-7161 |
| Full Name | Eye Partners Pc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 2800 Ross Clark Circle, Dothan, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902837453 | NPI | - | NPPES |
| 529903390 | Medicaid | AL | |
| CG3904 | Other | RAILROAD MEDICARE GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Marnix E Heersink |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1598794273 PECOS PAC ID: 8729076831 Enrollment ID: I20040505001391 |
| Provider Name | Jean Guy Fortin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1205945276 PECOS PAC ID: 6103814215 Enrollment ID: I20040505001480 |
| Provider Name | Zsolt C Bansagi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1366472383 PECOS PAC ID: 1153393970 Enrollment ID: I20040811000605 |
| Provider Name | John T Bell |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760419899 PECOS PAC ID: 3476519174 Enrollment ID: I20041204000039 |
| Provider Name | Kelly A Smith |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1881619955 PECOS PAC ID: 8921023482 Enrollment ID: I20051013000393 |
| Provider Name | Richard W Bryant |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578586327 PECOS PAC ID: 3577540970 Enrollment ID: I20080219000285 |
| Provider Name | Anthony Leoncavallo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1992954259 PECOS PAC ID: 0648434480 Enrollment ID: I20120607000421 |
| Provider Name | Austin R Henkel |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1184966699 PECOS PAC ID: 5698045961 Enrollment ID: I20170719001053 |
| Provider Name | Donald Wayne Gauldin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1871912204 PECOS PAC ID: 7911224258 Enrollment ID: I20190107003164 |
| Provider Name | Harsha A. Sen |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255692414 PECOS PAC ID: 3173551785 Enrollment ID: I20190906001786 |
| Provider Name | Ronald Swendris |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1255475737 PECOS PAC ID: 0345379079 Enrollment ID: I20210204000195 |
| Provider Name | Mary Mccauley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396311312 PECOS PAC ID: 8123421203 Enrollment ID: I20210727002468 |
| Provider Name | Jordan Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1194207662 PECOS PAC ID: 4385981224 Enrollment ID: I20211130000127 |
| Provider Name | Hyrum Wahlquist |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003594375 PECOS PAC ID: 6507226404 Enrollment ID: I20230724000825 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Partners Pc 2800 Ross Clark Circle, Dothan, AL 36301 Ph: (334) 793-2211 | Eye Partners Pc 2800 Ross Clark Circle, Dothan, AL 36301 Ph: (334) 793-2211 |