| Southern Eye Care Of Vicksburg Pa | |
|
1206 Mission 66, Vicksburg, MS 39183-3137 | |
| (601) 638-2081 | |
| Not Available |
| Full Name | Southern Eye Care Of Vicksburg Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1206 Mission 66, Vicksburg, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558089979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Primary |
| Provider Name | Chris C Collins |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1679682835 PECOS PAC ID: 3971674417 Enrollment ID: I20080611000557 |
| Provider Name | Kelby W Flemons |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1104551571 PECOS PAC ID: 4587034269 Enrollment ID: I20221222000498 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Eye Care Of Vicksburg Pa 1206 Mission 66, Vicksburg, MS 39183-3137 Ph: (601) 638-2081 | Southern Eye Care Of Vicksburg Pa 1206 Mission 66, Vicksburg, MS 39183-3137 Ph: (601) 638-2081 |
Dr. David Lawrence Prudhomme, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 3505 Pemberton Square Blvd, Suite 45, Vicksburg, MS 39180 Phone: 601-630-9199 Fax: 601-630-9192 | |
Dr. Kelby Warren Flemons, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 | |
Dr. Aimee Robinson Kinnebrew, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1808 Mission 66, Vicksburg, MS 39180 Phone: 601-636-6364 Fax: 601-636-1122 | |
Dr. Jill Frier, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2152 Iowa Blvd, Vicksburg, MS 39180 Phone: 601-636-3937 Fax: 601-638-0944 | |
Miles David Ashley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1808 Mission 66, Vicksburg, MS 39180 Phone: 601-636-6364 Fax: 601-636-1162 | |
Dr. C. Chris Collins, O. D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1206 Mission 66, Vicksburg, MS 39183 Phone: 601-638-2081 Fax: 601-638-2171 |