| Rayner Eye Clinic, LLC | |
|
2606 S. Lamar Oxford MS 38655-5302 | |
| (662) 234-6551 | |
| Not Available |
| Full Name | Rayner Eye Clinic, LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 2606 S. Lamar, Oxford, Mississippi |
| Authorized Official Name and Position | William D Farmer (OWNER) |
| Authorized Official Contact | 6622346551 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rayner Eye Clinic, LLC 1308 Belk Blvd Oxford MS 38655-5302 | Rayner Eye Clinic, LLC 2606 S. Lamar Oxford MS 38655-5302 Ph: (662) 234-6551 |
| NPI Number | 1326148578 |
|---|---|
| Provider Enumeration Date | 09/25/2006 |
| Last Update Date | 11/25/2022 |
| Certification Date | 11/17/2022 |
| Medicare PECOS PAC ID | 9537136577 |
|---|---|
| Medicare Enrollment ID | O20040910000538 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326148578 | NPI | - | NPPES |
| C02819 | Other | MS | MEDICARE PTAN |
| 06350509 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
| Provider Name | Thomas M Tann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1083654578 PECOS PAC ID: 2365410933 Enrollment ID: I20040921001034 |
| Provider Name | Cliff O Blaylock |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1043259146 PECOS PAC ID: 6709838337 Enrollment ID: I20050211000421 |
| Provider Name | William D Irvine |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1760488498 PECOS PAC ID: 1951381086 Enrollment ID: I20050228000418 |
| Provider Name | Jorge I Calzada |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1538154117 PECOS PAC ID: 1052342516 Enrollment ID: I20061205000651 |
| Provider Name | Randy Kent Richardson |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013951987 PECOS PAC ID: 4880752252 Enrollment ID: I20081029000516 |
| Provider Name | William Doty Farmer |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1902840861 PECOS PAC ID: 4385645829 Enrollment ID: I20090128000243 |
| Provider Name | Jonathan T Zoghby |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1962631150 PECOS PAC ID: 2668615717 Enrollment ID: I20140612001679 |
| Provider Name | Emily Graves |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1154540359 PECOS PAC ID: 0840477071 Enrollment ID: I20150926000196 |
| Provider Name | Lee E Moore |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1699156950 PECOS PAC ID: 5597078394 Enrollment ID: I20200518001254 |
| Provider Name | Arthur Clifton Guyton |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1164982427 PECOS PAC ID: 5193170306 Enrollment ID: I20231009000520 |
| Provider Name | Amanda Kathleen Howell |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1417706516 PECOS PAC ID: 8022540038 Enrollment ID: I20241016000055 |
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