| Jennifer Margaret Carlisle, OD | |
|
2250 Eastern Blvd, Montgomery, AL 36117-1555 | |
| (334) 274-2020 | |
| (334) 396-9924 |
| Full Name | Jennifer Margaret Carlisle |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 6 Years |
| Location | 2250 Eastern Blvd, Montgomery, Alabama |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780237727 | NPI | - | NPPES |
| S-E26 | Other | AL | TEMPORARY OPTOMETRIC LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT003228 (Georgia) | Secondary |
| 152W00000X | Optometrist | S-E26-TA-B61 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| R. Griff Gordy Pc | 9537251434 | 2 |
| Provider Name | R. Griff Gordy Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881726305 PECOS PAC ID: 9537251434 Enrollment ID: O20070823000396 |
| Provider Name | Myeyedr Optometry Of Alabama Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1770093551 PECOS PAC ID: 0840559878 Enrollment ID: O20180118002553 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Margaret Carlisle, OD 1950 Old Gallows Rd Ste 520, Vienna, VA 22182-3970 Ph: (703) 847-8899 | Jennifer Margaret Carlisle, OD 2250 Eastern Blvd, Montgomery, AL 36117-1555 Ph: (334) 274-2020 |
Dean Edward Schultz Iii, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 300 Twining St Bldg 760, Montgomery, AL 36112 Phone: 334-953-3368 Fax: 334-953-8607 | |
Dr. Justin E Sandholm, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 42d Medical Group, 300 South Twining Street, Bldg 760, Montgomery, AL 36112 Phone: 334-953-5200 | |
Dr. Camtu H. Nguyen, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6495 Atlanta Hwy, Montgomery, AL 36117 Phone: 334-272-0124 | |
Dr. Stephen J. Bordlee, D.O. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 215 Perry Hill Rd, Montgomery, AL 36109 Phone: 334-270-4670 | |
Montgomery Optometric Clinic Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Doris Ann Appleby, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5783 Carmichael Pkwy, Montgomery Optometric Clinic, Pa, Montgomery, AL 36117 Phone: 334-271-2020 Fax: 334-271-2042 | |
Dr. Roy Charles Goodman Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1110 Eastdale Mall, Montgomery, AL 36117 Phone: 334-272-4722 Fax: 334-272-5096 |