| Walls Vision Center Llc | |
|
1655 Sunset Dr, Grenada, MS 38901-4061 | |
| (662) 226-0042 | |
| (662) 226-4696 |
| Full Name | Walls Vision Center Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1655 Sunset Dr, Grenada, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497828495 | NPI | - | NPPES |
| 02473861 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 629 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Walls Vision Center Llc 1655 Sunset Dr, Grenada, MS 38901-4061 Ph: (662) 226-0042 | Walls Vision Center Llc 1655 Sunset Dr, Grenada, MS 38901-4061 Ph: (662) 226-0042 |
James Michael Pegg, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Old Hickory Rd, Grenada, MS 38901 Phone: 662-229-6038 Fax: 662-226-7027 | |
Dr. Christopher Thomas Walls, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 600 Old Hickory Rd, Grenada, MS 38901 Phone: 662-226-7010 Fax: 662-226-7027 | |
Dr. Carl J Marascalco, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 600 Old Hickory Rd, Grenada, MS 38901 Phone: 662-226-7010 Fax: 662-226-7027 | |
20-20 Eyecare Of Grenada Pa Optometrist Medicare: Medicare Enrolled Practice Location: 600 Old Hickory Rd, Grenada, MS 38901 Phone: 662-226-7010 Fax: 662-226-7027 | |
Dr. Lowell Wayne Taylor, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1655 Sunset Dr, Grenada, MS 38901 Phone: 662-226-0042 Fax: 662-226-4696 |