| Eye Clinic Of Meridian Pllc | |
|
1301 20th Ave, Meridian, MS 39301-4121 | |
| (601) 485-2368 | |
| (601) 693-2174 |
| Full Name | Eye Clinic Of Meridian Pllc |
|---|---|
| Type | Facility |
| Speciality | Ophthalmology |
| Location | 1301 20th Ave, Meridian, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942285564 | NPI | - | NPPES |
| 051550437 | Medicaid | AL | |
| 009943235 | Medicaid | AL | |
| 180041975 | Other | AL | DR MASON-RR MEDICARE |
| 00880212 | Medicaid | MS | |
| 051550436 | Medicaid | AL | |
| 00116589 | Medicaid | MS | |
| 00116642 | Medicaid | MS | |
| 051554358 | Other | AL | DR JOHNSON-RR MEDICARE |
| 180041976 | Other | AL | DR MARASCALCO-RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| Provider Name | Eric J Johnson |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1154345486 PECOS PAC ID: 3779480371 Enrollment ID: I20031212000575 |
| Provider Name | Don Edward Marascalco |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649294935 PECOS PAC ID: 9335045905 Enrollment ID: I20110113000303 |
| Provider Name | John Lawrence Mason |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1568486884 PECOS PAC ID: 4486667250 Enrollment ID: I20160425001174 |
| Provider Name | Cassie N Confait |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1912347105 PECOS PAC ID: 7012236359 Enrollment ID: I20170919002131 |
| Mailing Address | Practice Location Address |
|---|---|
| Eye Clinic Of Meridian Pllc Po Box 1551, Meridian, MS 39302-1551 Ph: (601) 485-2368 | Eye Clinic Of Meridian Pllc 1301 20th Ave, Meridian, MS 39301-4121 Ph: (601) 485-2368 |