| Optometric Clinic, Pa | |
|
600 W Pine St, Hattiesburg, MS 39401-3834 | |
| (601) 545-2020 | |
| (601) 583-0120 |
| Full Name | Optometric Clinic, Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 600 W Pine St, Hattiesburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972675577 | NPI | - | NPPES |
| 00087064 | Medicaid | MS | |
| 00880007 | Medicaid | MS | |
| 540017775 | Other | MS | RRMEDICARE |
| 410012873 | Other | MS | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 508 (Mississippi) | Primary |
| 152W00000X | Optometrist | 550 (Mississippi) | Secondary |
| Provider Name | Ann A Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1669524278 PECOS PAC ID: 2062317944 Enrollment ID: I20080211000001 |
| Provider Name | Lisa E Herrington Forsyth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1831240183 PECOS PAC ID: 7214010677 Enrollment ID: I20080211000003 |
| Mailing Address | Practice Location Address |
|---|---|
| Optometric Clinic, Pa 600 W Pine St, Hattiesburg, MS 39401-3834 Ph: (601) 545-2020 | Optometric Clinic, Pa 600 W Pine St, Hattiesburg, MS 39401-3834 Ph: (601) 545-2020 |
Dr. Katherine Elizabeth Reynolds, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2901 Arlington Loop, Hattiesburg, MS 39401 Phone: 601-268-5144 Fax: 601-268-5149 | |
Dr. George Alex Marchbanks, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1000 Turtle Creek Drive, Suite #450, Hattiesburg, MS 39402 Phone: 601-261-2223 | |
Alicea Hill, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 6 Ridgeside, Hattiesburg, MS 39402 Phone: 601-942-7996 | |
Belle Vue Specialty Eye Care Optometrist Medicare: Not Enrolled in Medicare Practice Location: 7127 Highway 98, Suite 30, Hattiesburg, MS 39402 Phone: 601-470-2020 Fax: 800-493-5956 | |
Hilari Mcfarland, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6096 U S Highway 98 Ste 1a, Hattiesburg, MS 39402 Phone: 601-261-2467 Fax: 601-296-6685 | |
Dr. Deborah J Marcev, OD Optometrist Medicare: Medicare Enrolled Practice Location: 3901 Hardy St, Ste. 130, Hattiesburg, MS 39402 Phone: 601-261-3383 Fax: 601-268-5515 | |
Green Eye Institute Pa Optometrist Medicare: Medicare Enrolled Practice Location: 2901 Arlington Loop, Hattiesburg, MS 39401 Phone: 601-268-5144 Fax: 601-268-5149 |