| Optical 2000 | |
|
815 Highway 80 E, Clinton, MS 39056-5252 | |
| (601) 924-4444 | |
| (601) 924-4100 |
| Full Name | Optical 2000 |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 815 Highway 80 E, Clinton, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144422577 | NPI | - | NPPES |
| 09014038 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 00748 (Mississippi) | Primary |
| Provider Name | Bobby C Pankey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1235183617 PECOS PAC ID: 5193758068 Enrollment ID: I20050913000250 |
| Provider Name | Paul Charles Hogue |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1457969255 PECOS PAC ID: 6103246467 Enrollment ID: I20201026003220 |
| Provider Name | Mary Lou C Puglese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780432880 PECOS PAC ID: 2668910316 Enrollment ID: I20240813003703 |
| Provider Name | Dillon J Pankey |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1871341974 PECOS PAC ID: 0749721439 Enrollment ID: I20240920003666 |
| Mailing Address | Practice Location Address |
|---|---|
| Optical 2000 815 Highway 80 E, Clinton, MS 39056-5252 Ph: (601) 924-4444 | Optical 2000 815 Highway 80 E, Clinton, MS 39056-5252 Ph: (601) 924-4444 |
Tonya Cannon Stewart, Od, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 45 West Lakeview Drive, Clinton, MS 39056 Phone: 601-925-2020 Fax: 601-925-2010 | |
Ramonica Lewis, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 950 Highway 80 E, Clinton, MS 39056 Phone: 601-924-7882 Fax: 601-924-7883 | |
Joshua C Massey, Optometrist Medicare: May Accept Medicare Assignments Practice Location: 929 Highway 80 E, Clinton, MS 39056 Phone: 601-924-7274 | |
Bobby C Pankey, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 115 Cynthia St, Clinton, MS 39056 Phone: 601-924-4444 Fax: 601-924-4100 | |
Ija Development Firm Llc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 123a Highway 80 E, Clinton, MS 39056 Phone: 601-519-1709 | |
Dr. Emma Claire Byers, OD Optometrist Medicare: Medicare Enrolled Practice Location: 45 Lakeview Dr, Clinton, MS 39056 Phone: 601-925-2020 |