| Optical 2000 Of Richland | |
|
655 Highway 49 S, Suite M, Richland, MS 39218-8419 | |
| (601) 932-3727 | |
| Not Available |
| Full Name | Optical 2000 Of Richland |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 655 Highway 49 S, Richland, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205001005 | 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 Of Richland 655 Highway 49 S, Suite M, Richland, MS 39218-8419 Ph: (601) 932-3727 | Optical 2000 Of Richland 655 Highway 49 S, Suite M, Richland, MS 39218-8419 Ph: (601) 932-3727 |
Envision Eye Care, Incorporated Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Market Pl, Richland, MS 39218 Phone: 601-936-5929 | |
Wiley Vision Care Llc Optometrist Medicare: Medicare Enrolled Practice Location: 200 Market Place Dr, Richland, MS 39218 Phone: 601-420-2101 | |
Dr. Mark Eugene Wiley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Market Pl, Richland, MS 39218 Phone: 601-420-2101 |