| Hardeman County Vision Center Inc | |
|
725 W Market St, Bolivar, TN 38008-2242 | |
| (731) 658-5197 | |
| (731) 658-5245 |
| Full Name | Hardeman County Vision Center Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 725 W Market St, Bolivar, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962094193 | NPI | - | NPPES |
| 6051220 | Other | TN | BCBS |
| 7699658 | Other | TN | CIGNA |
| A22476 | Other | TN | EYEMED |
| Q015027 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | George Watkins Walters, Jr |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134142094 PECOS PAC ID: 7416064928 Enrollment ID: I20101119000440 |
| Provider Name | Elizabeth G Ligon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700288024 PECOS PAC ID: 3375843659 Enrollment ID: I20151119000318 |
| Mailing Address | Practice Location Address |
|---|---|
| Hardeman County Vision Center Inc 215 Meadow Ridge Dr, Lakeland, TN 38002-4880 Ph: (803) 984-5278 | Hardeman County Vision Center Inc 725 W Market St, Bolivar, TN 38008-2242 Ph: (731) 658-5197 |
Dr. George W Walters, Jr, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 W Market St, Bolivar, TN 38008 Phone: 731-658-5197 Fax: 731-658-5245 | |
George W Walters Jr Optometrist Medicare: Not Enrolled in Medicare Practice Location: 725 W Market St, Bolivar, TN 38008 Phone: 731-658-5197 Fax: 731-658-5245 | |
Dr. Elizabeth Gault Ligon, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 725 W Market St, Bolivar, TN 38008 Phone: 731-658-5197 Fax: 731-658-5197 |