| Regional Eye Center, Llp | |
|
1119 E Lamar St, Americus, GA 31709-3762 | |
| (229) 924-4022 | |
| (229) 924-7133 |
| Full Name | Regional Eye Center, Llp |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1119 E Lamar St, Americus, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790836864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | John W Mixon |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1750365276 PECOS PAC ID: 2365469616 Enrollment ID: I20051026001116 |
| Provider Name | Valerie L. Moates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235125485 PECOS PAC ID: 3870685720 Enrollment ID: I20100422000753 |
| Provider Name | Chanh M Tu |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1134198765 PECOS PAC ID: 6507958451 Enrollment ID: I20100422000874 |
| Provider Name | Kenneth N Moates |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336135581 PECOS PAC ID: 1153413000 Enrollment ID: I20100426000324 |
| Provider Name | Ray D Williams |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1285627661 PECOS PAC ID: 6608968557 Enrollment ID: I20100525000019 |
| Provider Name | Matthew Bryan Greene |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457616898 PECOS PAC ID: 0840456604 Enrollment ID: I20120723000667 |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Eye Center, Llp 1119 E Lamar St, P O Box 788, Americus, GA 31709-3762 Ph: (229) 924-4022 | Regional Eye Center, Llp 1119 E Lamar St, Americus, GA 31709-3762 Ph: (229) 924-4022 |