| Premier Eye Clinic, Pllc | |
|
4551 Gautier Vancleave Rd, Gautier, MS 39553-4810 | |
| (228) 497-5126 | |
| (228) 497-5156 |
| Full Name | Premier Eye Clinic, Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4551 Gautier Vancleave Rd, Gautier, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386768810 | NPI | - | NPPES |
| 00880168 | Medicaid | MS | |
| 0087006 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 526 (Mississippi) | Secondary |
| 152W00000X | Optometrist | 653 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Eye Clinic, Pllc 4551 Gautier Vancleave Rd, Gautier, MS 39553-4810 Ph: (228) 497-5126 | Premier Eye Clinic, Pllc 4551 Gautier Vancleave Rd, Gautier, MS 39553-4810 Ph: (228) 497-5126 |
Dr. Clifford Wayne Brewer, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2800 Highway 90, Suite 1402, Gautier, MS 39553 Phone: 228-497-2020 Fax: 228-497-4820 | |
Eyedoc Consulting Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2105 Old Spanish Trl, Gautier, MS 39553 Phone: 228-205-7761 | |
Opticdok Inc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 2105 Old Spanish Trail, Gautier, MS 39553 Phone: 228-205-7761 Fax: 228-875-3398 |