| Hannah Massengale I, OD | |
|
908 Sixth Ave, Picayune, MS 39466-3802 | |
| (601) 798-4182 | |
| Not Available |
| Full Name | Hannah Massengale I |
|---|---|
| Gender | Female |
| Speciality | Optometrist |
| Location | 908 Sixth Ave, Picayune, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487491536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1088P-Y (Mississippi) | Primary |
| Provider Name | Picayune Eye Clinic |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1922067016 PECOS PAC ID: 1456470848 Enrollment ID: O20101019000170 |
| Mailing Address | Practice Location Address |
|---|---|
| Hannah Massengale I, OD 908 Sixth Ave, Picayune, MS 39466-3802 Ph: (601) 798-4182 | Hannah Massengale I, OD 908 Sixth Ave, Picayune, MS 39466-3802 Ph: (601) 798-4182 |
Advanced Eyecare, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 5 Alex Pl, Picayune, MS 39466 Phone: 601-799-0707 Fax: 601-799-0700 | |
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 |