| Todd Hall Od Pa | |
|
814 W Park Ave, Greenwood, MS 38930-2825 | |
| (662) 453-5400 | |
| (662) 453-5726 |
| Full Name | Todd Hall Od Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 814 W Park Ave, Greenwood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255699658 | NPI | - | NPPES |
| 00880003 | Medicaid | MS | |
| 410023650 | Other | MS | PALMETTO GBA RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 570 (Mississippi) | Primary |
| Provider Name | Todd Hall |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811177843 PECOS PAC ID: 2163595299 Enrollment ID: I20080722000512 |
| Provider Name | Mary Wilson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396090163 PECOS PAC ID: 0143478172 Enrollment ID: I20120918000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Todd Hall Od Pa 814 W Park Ave, Greenwood, MS 38930-2825 Ph: (662) 453-5400 | Todd Hall Od Pa 814 W Park Ave, Greenwood, MS 38930-2825 Ph: (662) 453-5400 |
Greenwood Eye Care, Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2202 Hwy 82 W, Greenwood, MS 38930 Phone: 662-609-6402 | |
Dr. Forrest Walker Manning, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2202 Highway 82 W, Greenwood, MS 38930 Phone: 662-455-7840 Fax: 662-455-7841 | |
Manning Eye Care Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2202 Hwy 82 West, Greenwood, MS 38930 Phone: 662-455-7840 Fax: 662-455-7841 | |
Dr. Jacob Daniel Long, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2202 Hwy 82 West, Greenwood, MS 38930 Phone: 662-609-6402 | |
Todd Hall, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 814 W Park Ave, Greenwood, MS 38930 Phone: 662-453-5400 Fax: 662-453-5726 |