| Jesse Logan Mize, OD | |
|
706 Washington St, Ravenswood, WV 26164-1772 | |
| (304) 273-2020 | |
| (304) 273-1160 |
| Full Name | Jesse Logan Mize |
|---|---|
| Gender | Male |
| Speciality | Optometry |
| Experience | 5 Years |
| Location | 706 Washington St, Ravenswood, West Virginia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285246546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 2072-IOD (West Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jesse Ben Mize Iii And Christie Mize Ptr | 8123078649 | 3 |
| Provider Name | John B Knight |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1972666030 PECOS PAC ID: 0941257166 Enrollment ID: I20101115000881 |
| Provider Name | Jesse Ben Mize Iii & Christie Mize Ptr |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1881643583 PECOS PAC ID: 8123078649 Enrollment ID: O20050124000146 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Logan Mize, OD 706 Washington St, Ravenswood, WV 26164-1772 Ph: (304) 273-2020 | Jesse Logan Mize, OD 706 Washington St, Ravenswood, WV 26164-1772 Ph: (304) 273-2020 |
Jesse Ben Mize Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 706 Washington St, Ravenswood, WV 26164 Phone: 304-273-2020 | |
Christine R Mize, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 706 Washington St, Ravenswood, WV 26164 Phone: 304-273-2020 | |
Mr. Rex Allen Cummings, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 105 Royal St, Ravenswood, WV 26164 Phone: 304-273-5333 Fax: 304-273-5334 | |
Rex Allen Cummings Inc Optometrist Medicare: Medicare Enrolled Practice Location: 105 Royal St, Ravenswood, WV 26164 Phone: 304-273-5333 Fax: 304-273-5334 | |
Jesse Ben Mize Iii & Christie Mize Ptr Optometrist Medicare: Medicare Enrolled Practice Location: 706 Washington St, Ravenswood, WV 26164 Phone: 304-273-2020 |