| Joshua E. Bostick, O.d., P.a. | |
|
122 Willowbrook Dr, Saltillo, MS 38866-6895 | |
| (662) 869-1779 | |
| (662) 869-3776 |
| Full Name | Joshua E. Bostick, O.d., P.a. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 122 Willowbrook Dr, Saltillo, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093020893 | NPI | - | NPPES |
| 07622573 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 821 (Mississippi) | Primary |
| Provider Name | Ryan Russell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831180900 PECOS PAC ID: 2466536602 Enrollment ID: I20080226000651 |
| Provider Name | Joshua E Bostick |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1184937690 PECOS PAC ID: 0648463638 Enrollment ID: I20101022000487 |
| Provider Name | Anna Katherine Lansdell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003487463 PECOS PAC ID: 7416334990 Enrollment ID: I20220523001740 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua E. Bostick, O.d., P.a. 122 Willowbrook Dr, Saltillo, MS 38866-6895 Ph: (662) 869-1779 | Joshua E. Bostick, O.d., P.a. 122 Willowbrook Dr, Saltillo, MS 38866-6895 Ph: (662) 869-1779 |
Anna Katherine Lansdell, Optometrist Medicare: Accepting Medicare Assignments Practice Location: 122 Willowbrook Dr, Saltillo, MS 38866 Phone: 662-869-1779 | |
Dr. Joshua Edwin Bostick, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107 Town Creek Dr, Saltillo, MS 38866 Phone: 662-869-1779 | |
Julie C. Brock, O.d., Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 107 Town Creek Drive, Suite A, Saltillo, MS 38866 Phone: 662-869-1779 Fax: 662-869-3776 | |
Dr. Julie C. Brock, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 107a Town Creek Dr, Saltillo, MS 38866 Phone: 662-869-1779 Fax: 662-869-3776 |