| Mia J Guillory, OD | |
|
1855 Tanner Way Ste 120, Harriman, TN 37748-8332 | |
| (865) 882-1535 | |
| (865) 882-9497 |
| Full Name | Mia J Guillory |
|---|---|
| Gender | Female |
| Speciality | Optometry |
| Experience | 18 Years |
| Location | 1855 Tanner Way Ste 120, Harriman, Tennessee |
| 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 |
|---|---|---|---|
| 1811186059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 3495 (Tennessee) | Primary |
| 152W00000X | Optometrist | 1543 (Louisiana) | Secondary |
| 152W00000X | Optometrist | 046010059 (Illinois) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eye Center Of Oak Ridge,pc | 8527040690 | 14 |
| Provider Name | Eye Center Of Oak Ridge,pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1235201393 PECOS PAC ID: 8527040690 Enrollment ID: O20040602001363 |
| Provider Name | Campbell Cunningham Taylor Pc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1407850944 PECOS PAC ID: 0244216562 Enrollment ID: O20040628000593 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia J Guillory, OD 90 Vermont Ave, Oak Ridge, TN 37830-6474 Ph: (865) 882-1535 | Mia J Guillory, OD 1855 Tanner Way Ste 120, Harriman, TN 37748-8332 Ph: (865) 882-1535 |
Dr. Whitley Lauren Shoemaker, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1855 Tanner Way Ste 120, Harriman, TN 37748 Phone: 865-882-1535 | |
Jackie Lynn Greene-gunter, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1855 Tanner Way, Ste 120, Harriman, TN 37748 Phone: 865-882-1535 Fax: 865-882-9497 | |
Paul William Tappan, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1855 Tanner Way, Ste 120, Harriman, TN 37748 Phone: 865-882-1535 Fax: 865-882-9497 | |
Dr. John Fletcher Robertson Iv, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1855 Tanner Way Ste 120, Harriman, TN 37748 Phone: 865-882-1535 Fax: 865-882-9497 | |
Silvia Mende, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1798 Roane State Hwy, Harriman, TN 37748 Phone: 800-500-4667 Fax: 833-448-2981 | |
Eye Care Centers Pllc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1798 Roane State Hwy, Harriman, TN 37748 Phone: 865-882-7470 Fax: 865-882-2738 |