Dr Bethany Ann South, OD in Bay Springs, MS - Optometrist

Dr Bethany Ann South, OD is a Optometrist based in Bay Springs, Mississippi. Dr Bethany Ann South is licensed to practice in Mississippi (license number 831) and her current practice location is 16 South 16th St, Bay Springs, Mississippi. She can be reached at her office (for appointments etc.) via phone at (601) 764-2120.

NPI number for Dr Bethany Ann South is 1316137052 and her current mailing address is Po Box 728, Bay Springs, Mississippi. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1316137052.

Contact Information

	Dr Bethany Ann South, OD
	16 South 16th St, Bay Springs, MS 39422
	(601) 764-2120
	(601) 764-3410

Healthcare Provider's Profile

Full Name	Dr Bethany Ann South
Gender	Female
Speciality	Optometrist
Location	16 South 16th St, Bay Springs, Mississippi
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1316137052
Provider Enumeration Date: 07/30/2007
Last Update Date: 01/12/2011

Medical Identifiers

Medical identifiers for Dr Bethany Ann South such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316137052	NPI	-	NPPES
13338	Other	CA	CALIFORNIA BOARD OF OPTOM
831	Other	MS	OPTOMETRY LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	13338 (California)	Secondary
152W00000X	Optometrist	831 (Mississippi)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bethany Ann South is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Bethany Ann South, OD Po Box 728, Bay Springs, MS 39422-0728 Ph: (601) 764-2120	Dr Bethany Ann South, OD 16 South 16th St, Bay Springs, MS 39422 Ph: (601) 764-2120

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Optometrist in Bay Springs, MS

Bay Springs Eye Care Llc
Optometrist
Medicare: Not Enrolled in Medicare
Practice Location: 16 South 6th Street, Bay Springs, MS 39422
Phone: 601-764-2120

Dr Bethany Ann South, OD - Optometrist in Bay Springs, MS