| Poplarville Eye Clinic | |
|
1249 S Main St, Poplarville, MS 39470-3313 | |
| (601) 795-0137 | |
| (601) 798-4770 |
| Full Name | Poplarville Eye Clinic |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1249 S Main St, Poplarville, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659546802 | NPI | - | NPPES |
| 09014613 | Other | MS | MS MEDICAID GROUP PROV# |
| 410000163 | Other | MS | MEDICARE |
| 410012249 | Other | MS | MEDICARE RAIL ROAD |
| 425297177 | Other | MS | BLUE CROSS BLUE SHIELD |
| 00880221 | Medicaid | MS | |
| 0661580001 | Other | MS | PALMETTO GBA DMERC |
| 263673909 | Other | MS | LORI. L BLACKMER- BLUE CROSS BLUE SHIELD |
| U92635 | Other | MS | UPIN |
| 00880022 | Medicaid | MS | |
| 1346215274 | Other | MS | MARC A. HAUTOT- NPI |
| 1750350070 | Other | MS | BETHANY HARRINGTON, O.D. NPI |
| 1760451595 | Other | MS | LORI L. BLACKMER, . O.D. NPI |
| 22-30045 | Other | MS | UNITED HEALTH CARE |
| 435044954D | Other | MS | BLUE CROSS BLUE SHIELD-DR MARC A. HAUTOT |
| MS0685 | Other | MS | EYE MED |
| P00043499 | Other | MS | MEDICARE RAILROAD RETIREMENT |
| 00087010 | Other | MS | LORI L. BLACKMER, O.D. MEDICAID |
| 410000162 | Other | MS | MEDICARE-DR MARC A. HAUTOT |
| 410000267 | Other | MS | MEDICARE |
| T95634 | Other | MS | LORI L. BLACKMER, O.D. UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 559 (Mississippi) | Primary |
| 152W00000X | Optometrist | 584 (Mississippi) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Poplarville Eye Clinic 908 Sixth Ave, Picayune, MS 39466 Ph: (601) 798-4182 | Poplarville Eye Clinic 1249 S Main St, Poplarville, MS 39470-3313 Ph: (601) 795-0137 |
Bethany G Harrington, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1716 S Main St, Poplarville, MS 39470 Phone: 601-795-0137 Fax: 601-795-0148 | |
Poplarville Eye Clinic, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 1716 S Main St, Poplarville, MS 39470 Phone: 601-795-0137 Fax: 601-795-0148 |