| Optometry Group | |
|
2961 Canada Rd, Suite 104, Lakeland, TN 38002-4893 | |
| (901) 380-2020 | |
| (901) 380-2809 |
| Full Name | Optometry Group |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 2961 Canada Rd, Lakeland, Tennessee |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104968338 | NPI | - | NPPES |
| 3940102 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | ODT 1585 (Tennessee) | Primary |
| Provider Name | Barton L Powell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164572285 PECOS PAC ID: 4981517679 Enrollment ID: I20031110000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Optometry Group 2961 Canada Rd, Suite 104, Lakeland, TN 38002-4893 Ph: (901) 380-2020 | Optometry Group 2961 Canada Rd, Suite 104, Lakeland, TN 38002-4893 Ph: (901) 380-2020 |
Dr. Barton L. Powell, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2961 Canada Rd, Ste 104, Lakeland, TN 38002 Phone: 901-380-2020 Fax: 901-380-2809 |
Myeyedr Optometry Of Tennessee, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2961 Canada Rd Ste 104, Lakeland, TN 38002 Phone: 901-380-2020 Fax: 901-380-2807 |