| Off The Square Eyecare, Pllc | |
|
105 E Calhoun St, Bruce, MS 38915-0405 | |
| (662) 362-7330 | |
| (662) 362-7329 |
| Full Name | Off The Square Eyecare, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 105 E Calhoun St, Bruce, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639031545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Kelli Mullen |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982056198 PECOS PAC ID: 8022305184 Enrollment ID: I20160919000334 |
| Mailing Address | Practice Location Address |
|---|---|
| Off The Square Eyecare, Pllc 105 E Calhoun St, Bruce, MS 38915-0405 Ph: (662) 362-7330 | Off The Square Eyecare, Pllc 105 E Calhoun St, Bruce, MS 38915-0405 Ph: (662) 362-7330 |
James Edward Brown, O D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 208 W Calhoun St, Bruce, MS 38915 Phone: 662-983-2323 Fax: 662-983-4126 |
Bruce Eye Clinic, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 208 W. Calhoun St, Bruce, MS 38915 Phone: 662-983-2323 Fax: 662-983-4126 |
Justin Corey Zampella, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 208 W Calhoun St, Bruce, MS 38915 Phone: 662-983-2323 |