| Taylor Elizabeth O'daniel, | |
|
3126 E Roane Ave, Eupora, MS 39744-2638 | |
| (662) 258-2020 | |
| Not Available |
| Full Name | Taylor Elizabeth O'daniel |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 3126 E Roane Ave, Eupora, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689354417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1074P-Y (Mississippi) | Primary |
| Provider Name | Eye Clinic Of Houston |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1548314818 PECOS PAC ID: 0143222018 Enrollment ID: O20070206000090 |
| Provider Name | Eye Clinic Of Eupora, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1033240825 PECOS PAC ID: 9931278561 Enrollment ID: O20080521000785 |
| Provider Name | Eye Clinic Of West Point, Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1396879912 PECOS PAC ID: 6204990492 Enrollment ID: O20090203000459 |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Elizabeth O'daniel, Po Box 225, Eupora, MS 39744-0225 Ph: (662) 258-2020 | Taylor Elizabeth O'daniel, 3126 E Roane Ave, Eupora, MS 39744-2638 Ph: (662) 258-2020 |
Eye Clinic Of Eupora, Inc Optometrist Medicare: Medicare Enrolled Practice Location: 3126 E Roane Ave, Eupora, MS 39744 Phone: 662-258-2020 Fax: 662-258-2030 | |
Dr. Charles P Tillman Jr., O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 3126 E Roane Ave, Eupora, MS 39744 Phone: 662-258-2020 Fax: 662-258-2030 | |
Ms Eye Care, Pa Optometrist Medicare: Not Enrolled in Medicare Practice Location: 3126 E Roane Ave, Eupora, MS 39744 Phone: 662-258-2020 Fax: 662-258-2030 |