| Advanced Eyecare, Llc | |
|
5 Alex Pl, Picayune, MS 39466-9697 | |
| (601) 799-0707 | |
| (601) 799-0700 |
| Full Name | Advanced Eyecare, Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5 Alex Pl, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104045665 | NPI | - | NPPES |
| 05152521 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 611 (Mississippi) | Primary |
| Provider Name | Kraig M Stasney |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861598765 PECOS PAC ID: 2961416078 Enrollment ID: I20060131000419 |
| Provider Name | Jarrad M Berry |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1821420712 PECOS PAC ID: 1557642709 Enrollment ID: I20161229001325 |
| Provider Name | Gary M Artigue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396737813 PECOS PAC ID: 5799725966 Enrollment ID: I20170522002745 |
| Provider Name | Anh V Ta |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1790263663 PECOS PAC ID: 4183976624 Enrollment ID: I20220928000119 |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Eyecare, Llc 5 Alex Pl, Picayune, MS 39466-9697 Ph: (601) 799-0707 | Advanced Eyecare, Llc 5 Alex Pl, Picayune, MS 39466-9697 Ph: (601) 799-0707 |
Dr. Johneen Gilich, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 235 Frontage Rd, Picayune, MS 39466 Phone: 228-861-6989 Fax: 601-799-4685 | |
Lori L Blackmer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 908 Sixth Ave, Picayune, MS 39466 Phone: 601-798-4182 Fax: 601-798-4770 | |
Dr. Kraig Michael Stasney, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 718 Highway 11 S Ste B, Picayune, MS 39466 Phone: 601-799-0707 Fax: 601-799-0700 | |
Picayune Eye Clinic Optometrist Medicare: Medicare Enrolled Practice Location: 908 Sixth Ave, Picayune, MS 39466 Phone: 601-798-4182 Fax: 601-798-4770 |