| Patricia M Mccullough, OD | |
|
167 Main Street, Tuba City, AZ 86045 | |
| (866) 976-5941 | |
| Not Available |
| Full Name | Patricia M Mccullough |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 167 Main Street, Tuba City, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689348054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT-002508 (Arizona) | Primary |
| Provider Name | Tuba City Regional Health Care Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107 |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia M Mccullough, OD Po Box 1000, Flagstaff, AZ 86002-1000 Ph: (928) 310-6368 | Patricia M Mccullough, OD 167 Main Street, Tuba City, AZ 86045 Ph: (866) 976-5941 |
Gay E Nord, OD Optometrist Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Breanne Michelle Flores, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2781 | |
Ronda L Olson, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Lawrence E Richardson, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 | |
Jacob Wilson, OD Optometrist Medicare: Medicare Enrolled Practice Location: 2033-1 N Spruce, Tuba City, AZ 86045 Phone: 602-576-2812 | |
Nancy A Nichols, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 167 North Main Street, Tuba City, AZ 86045 Phone: 928-283-2501 Fax: 928-283-2677 |