| Merin Amanda Graves, OD | |
|
1755 Al-77, Southside, AL 35907-0103 | |
| (256) 442-6200 | |
| (256) 442-6292 |
| Full Name | Merin Amanda Graves |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 1755 Al-77, Southside, Alabama |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700172954 | NPI | - | NPPES |
| 137449 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPC 4669 (Florida) | Secondary |
| 152W00000X | Optometrist | S-C72-TA-911 (Alabama) | Secondary |
| 152W00000X | Optometrist | 7827T (Texas) | Primary |
| Provider Name | Eyecare Associates, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1710012877 PECOS PAC ID: 0749254001 Enrollment ID: O20040823000825 |
| Provider Name | Wallace Optometry Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245307032 PECOS PAC ID: 4688697998 Enrollment ID: O20060112000144 |
| Provider Name | Eyes On Albertville, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235664285 PECOS PAC ID: 0941545164 Enrollment ID: O20181217001640 |
| Mailing Address | Practice Location Address |
|---|---|
| Merin Amanda Graves, OD 1431 2nd Ave N, Bessemer, AL 35020-5608 Ph: (205) 425-5182 | Merin Amanda Graves, OD 1755 Al-77, Southside, AL 35907-0103 Ph: (256) 442-6200 |
Jennifer Alverson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1800 Al-77, Southside, AL 35907 Phone: 256-442-6200 Fax: 256-442-6292 | |
Dr. April Jones, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1755 Highway 77, Southside, AL 35907 Phone: 256-442-6200 Fax: 256-442-6292 | |
Brett Bryant, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1755 Highway 77, Southside, AL 35907 Phone: 256-442-6200 | |
Eyecare Associates, Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1755 Highway 77, Southside, AL 35907 Phone: 636-200-4393 Fax: 256-442-6292 |