| Randall Mann, OD | |
|
104 S Front Ave, Prestonsburg, KY 41653-1614 | |
| (606) 886-8572 | |
| (606) 886-4433 |
| Full Name | Randall Mann |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 104 S Front Ave, Prestonsburg, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790885416 | NPI | - | NPPES |
| 77012185 | Medicaid | KY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1218DT (Kentucky) | Primary |
| Provider Name | Mountain Comprehensive Care Center Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1760491674 PECOS PAC ID: 5294720553 Enrollment ID: O20040416000380 |
| Provider Name | Arh Tug Valley Health Services, Inc. |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1639949696 PECOS PAC ID: 4183953805 Enrollment ID: O20190905002344 |
| Mailing Address | Practice Location Address |
|---|---|
| Randall Mann, OD 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 | Randall Mann, OD 104 S Front Ave, Prestonsburg, KY 41653-1614 Ph: (606) 886-8572 |
Cydney Paige Branham, OD Optometrist Medicare: Medicare Enrolled Practice Location: 338 N Arnold Ave, Prestonsburg, KY 41653 Phone: 606-886-2020 | |
Nordin Eye Center, Psc Optometrist Medicare: Medicare Enrolled Practice Location: 929 N Lake Dr, Prestonsburg, KY 41653 Phone: 606-886-6774 Fax: 606-886-6628 | |
Frontier Vision Llc Optometrist Medicare: Medicare Enrolled Practice Location: 400 University Dr Ste 100, Prestonsburg, KY 41653 Phone: 606-889-6522 Fax: 606-889-6453 |