| Southern Eyecare, P.c. | |
|
25 Cross St, Hazlehurst, GA 31539-6427 | |
| (912) 375-2516 | |
| (912) 379-0755 |
| Full Name | Southern Eyecare, P.c. |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 25 Cross St, Hazlehurst, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407029465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | OPT002403 (Georgia) | Secondary |
| 152W00000X | Optometrist | OPT001506 (Georgia) | Primary |
| Provider Name | Michael L Mason |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982686564 PECOS PAC ID: 3476625013 Enrollment ID: I20080626000475 |
| Provider Name | Jason Kyle Varnadoe |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063852754 PECOS PAC ID: 2264655315 Enrollment ID: I20140519001795 |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Eyecare, P.c. P O Box 430, 25 Cross St, Hazlehurst, GA 31539-0430 Ph: (912) 375-2516 | Southern Eyecare, P.c. 25 Cross St, Hazlehurst, GA 31539-6427 Ph: (912) 375-2516 |
Dr. Jason Kyle Varnadoe, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 Cross St, Hazlehurst, GA 31539 Phone: 912-375-2516 Fax: 912-379-0755 | |
Dr. Michael Lloyd Mason, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 25 Cross St, Hazlehurst, GA 31539 Phone: 912-375-2516 Fax: 912-379-0755 |