| Jesse Ben Mize Iii & Christie Mize Ptr | |
|
706 Washington St, Ravenswood, WV 26164-1772 | |
| (304) 273-2020 | |
| Not Available |
| Full Name | Jesse Ben Mize Iii & Christie Mize Ptr |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 706 Washington St, Ravenswood, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881643583 | NPI | - | NPPES |
| 001267200 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 924-OD (West Virginia) | Primary |
| Provider Name | Jesse B Mize |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235104068 PECOS PAC ID: 7416907787 Enrollment ID: I20050125000322 |
| Provider Name | Christine Rachel Mize |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235104480 PECOS PAC ID: 9830149152 Enrollment ID: I20050125000525 |
| Provider Name | Jesse Logan Mize |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285246546 PECOS PAC ID: 4183042880 Enrollment ID: I20200911002280 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesse Ben Mize Iii & Christie Mize Ptr 706 Washington St, Ravenswood, WV 26164-1772 Ph: (304) 273-2020 | Jesse Ben Mize Iii & Christie Mize Ptr 706 Washington St, Ravenswood, WV 26164-1772 Ph: (304) 273-2020 |
Jesse Ben Mize Iii, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 706 Washington St, Ravenswood, WV 26164 Phone: 304-273-2020 | |
Christine R Mize, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 706 Washington St, Ravenswood, WV 26164 Phone: 304-273-2020 | |
Jesse Logan Mize, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 706 Washington St, Ravenswood, WV 26164 Phone: 304-273-2020 Fax: 304-273-1160 | |
Mr. Rex Allen Cummings, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 105 Royal St, Ravenswood, WV 26164 Phone: 304-273-5333 Fax: 304-273-5334 | |
Rex Allen Cummings Inc Optometrist Medicare: Medicare Enrolled Practice Location: 105 Royal St, Ravenswood, WV 26164 Phone: 304-273-5333 Fax: 304-273-5334 |