| Craig W. Cleveland, O.d., P.a. | |
|
202 N 2nd St, Booneville, MS 38829-2702 | |
| (662) 728-6191 | |
| (662) 728-9430 |
| Full Name | Craig W. Cleveland, O.d., P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 202 N 2nd St, Booneville, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487784518 | NPI | - | NPPES |
| 00880096 | Medicaid | MS | |
| 06985007 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 532 (Mississippi) | Primary |
| Provider Name | Craig Cleveland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396859054 PECOS PAC ID: 4587774856 Enrollment ID: I20110121000339 |
| Mailing Address | Practice Location Address |
|---|---|
| Craig W. Cleveland, O.d., P.a. 202 N 2nd St, Booneville, MS 38829-2702 Ph: (662) 728-6191 | Craig W. Cleveland, O.d., P.a. 202 N 2nd St, Booneville, MS 38829-2702 Ph: (662) 728-6191 |
Adam Tate Hill, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 108 South Main Street, Booneville, MS 38829 Phone: 662-720-1910 Fax: 662-720-1929 | |
Hill Family Eye Center, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 108 S Main St, Booneville, MS 38829 Phone: 662-720-1910 | |
Dr. Craig Webster Cleveland, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 202 N 2nd St, Booneville, MS 38829 Phone: 662-728-6191 Fax: 662-728-9430 |