| Olive Branch Eyecare, Pllc | |
|
6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1922 | |
| (662) 893-3300 | |
| Not Available |
| Full Name | Olive Branch Eyecare, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 6947 Crumpler Blvd, Olive Branch, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003019878 | NPI | - | NPPES |
| 09577062 | Medicaid | MS | |
| DG2594 | Other | RAILROAD MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | David Parker |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1558321729 PECOS PAC ID: 8628963949 Enrollment ID: I20040217000188 |
| Provider Name | Sean P Aldinger |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1659330231 PECOS PAC ID: 9739177270 Enrollment ID: I20040504000760 |
| Provider Name | Nicole Y Monroe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1700862042 PECOS PAC ID: 0143274340 Enrollment ID: I20050310000446 |
| Provider Name | Walter Pang |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1548692130 PECOS PAC ID: 4284858473 Enrollment ID: I20140609001556 |
| Provider Name | Mallory Phillips Bodford |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1932518032 PECOS PAC ID: 1658704010 Enrollment ID: I20191126001158 |
| Provider Name | Aaron T Renfrow |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1467132290 PECOS PAC ID: 0749634061 Enrollment ID: I20230920002415 |
| Mailing Address | Practice Location Address |
|---|---|
| Olive Branch Eyecare, Pllc 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1922 Ph: (662) 893-3300 | Olive Branch Eyecare, Pllc 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654-1922 Ph: (662) 893-3300 |
Dr. Preslee Magee, O.D Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6947 Crumpler Blvd, Olive Branch, MS 38654 Phone: 662-893-3300 Fax: 662-893-3301 | |
Grace Dalton, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6947 Crumpler Blvd, Olive Branch, MS 38654 Phone: 662-893-3300 Fax: 662-893-3301 | |
Dr. Margo Denice Boler, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 7950 Craft Goodman Rd, Olive Branch, MS 38654 Phone: 662-893-3950 Fax: 662-893-3950 | |
Margo D Ray Inc Optometrist Medicare: Medicare Enrolled Practice Location: 7950 Craft Goodman Rd, Olive Branch, MS 38654 Phone: 662-893-3950 Fax: 662-893-3950 | |
Dr. Tiffany Li Mcelroy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6947 Crumpler Blvd, Suite 100, Olive Branch, MS 38654 Phone: 662-893-3300 | |
Dr. Aaron Tyler Renfrow, OD Optometrist Medicare: Medicare Enrolled Practice Location: 6947 Crumpler Blvd, Olive Branch, MS 38654 Phone: 662-893-3300 |