| Jessica Kenney, | |
|
4000 E Us Highway 377, Granbury, TX 76049-7432 | |
| (817) 573-7153 | |
| (817) 573-5640 |
| Full Name | Jessica Kenney |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 10 Years |
| Location | 4000 E Us Highway 377, Granbury, Texas |
| 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 |
|---|---|---|---|
| 1245682665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002931 (Georgia) | Secondary |
| 152W00000X | Optometrist | 9318TG (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Clarkson Optometry Georgia Inc | 5193732949 | 13 |
| Provider Name | Clarkson Optometry Georgia Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1184802670 PECOS PAC ID: 5193732949 Enrollment ID: O20060320000335 |
| Provider Name | Walton Eye Care, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1891988465 PECOS PAC ID: 8820184229 Enrollment ID: O20071017000184 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Kenney, 4000 E Us Highway 377, Granbury, TX 76049-7432 Ph: (817) 573-7153 | Jessica Kenney, 4000 E Us Highway 377, Granbury, TX 76049-7432 Ph: (817) 573-7153 |
Bryan Mcdaniel, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1030 E Hwy 377 Ste 106, Granbury, TX 76048 Phone: 817-578-8484 Fax: 817-579-1329 | |
Stellar Vision Corporation Optometrist Medicare: Not Enrolled in Medicare Practice Location: 735 E Highway 377, Granbury, TX 76048 Phone: 817-964-3455 Fax: 817-964-3465 | |
Dr. Courtney Cheyne Cobbs, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 E Us Highway 377, Granbury, TX 76049 Phone: 817-573-7153 Fax: 817-573-5640 | |
Med Southwest, Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1030 East Hwy 377 Ste 106, Granbury, TX 76048 Phone: 817-578-8484 Fax: 817-579-1329 | |
Dr. Robert Brian Yeaman, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4000 E Us Highway 377, Granbury, TX 76049 Phone: 817-573-7153 Fax: 817-573-5640 | |
Bruce B Wadley, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1101 Waters Edge Dr, Suite 104, Granbury, TX 76048 Phone: 817-579-7933 Fax: 817-579-8656 |