| The Vision Center Pa | |
|
1113 Central Ave E, Wiggins, MS 39577 | |
| (601) 928-3914 | |
| (601) 928-2207 |
| Full Name | The Vision Center Pa |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 1113 Central Ave E, Wiggins, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790962637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 758 (Mississippi) | Primary |
| Provider Name | Gregory D Loose |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013096825 PECOS PAC ID: 3173629904 Enrollment ID: I20070510000425 |
| Provider Name | Max M Edrington |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1336172428 PECOS PAC ID: 0749353084 Enrollment ID: I20080721000422 |
| Provider Name | Dillon Eugene Ott |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1013360957 PECOS PAC ID: 6406138783 Enrollment ID: I20170505000040 |
| Provider Name | Breeley Od Sellier |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780253633 PECOS PAC ID: 1456756204 Enrollment ID: I20210817004280 |
| Mailing Address | Practice Location Address |
|---|---|
| The Vision Center Pa 1113 Central Ave E, Wiggins, MS 39577 Ph: (601) 928-3914 | The Vision Center Pa 1113 Central Ave E, Wiggins, MS 39577 Ph: (601) 928-3914 |
Dr. Gregory D Loose, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1113 Central Ave E, Wiggins, MS 39577 Phone: 601-928-3914 Fax: 601-928-2207 | |
Dr. Dillon Ott, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1113 Central Ave E, Wiggins, MS 39577 Phone: 601-928-3914 Fax: 601-928-2207 |