| Premier Eye Clinic , Pllc | |
|
4505 Hospital St Ste A, Pascagoula, MS 39581-5302 | |
| (228) 762-1525 | |
| (228) 769-2635 |
| Full Name | Premier Eye Clinic , Pllc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 4505 Hospital St Ste A, Pascagoula, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164509675 | NPI | - | NPPES |
| 0087006 | Medicaid | MS | |
| 00880168 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 526 AND 653 (Mississippi) | Primary |
| Provider Name | Brian L Hunt |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1164582334 PECOS PAC ID: 3577534452 Enrollment ID: I20040820000267 |
| Provider Name | Phillip L King |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1780709279 PECOS PAC ID: 4587691241 Enrollment ID: I20050726000212 |
| Provider Name | Dannette N King |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1891810396 PECOS PAC ID: 8123055886 Enrollment ID: I20050726000344 |
| Provider Name | Lauren E Martin |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1114538527 PECOS PAC ID: 6103243837 Enrollment ID: I20200826003020 |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Eye Clinic , Pllc 4505 Hospital St Ste A, Pascagoula, MS 39581-5302 Ph: (228) 762-1525 | Premier Eye Clinic , Pllc 4505 Hospital St Ste A, Pascagoula, MS 39581-5302 Ph: (228) 762-1525 |
Lauren Martin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 4505 Hospital St Ste A, Pascagoula, MS 39581 Phone: 228-762-1525 Fax: 228-769-2635 | |
Dr. Brian L Hunt, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 4505 Hospital St Ste A, Pascagoula, MS 39581 Phone: 228-762-1525 Fax: 228-769-2635 | |
Gilich Enterprises, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 4253 Denny Ave, Pascagoula, MS 39581 Phone: 228-627-9838 Fax: 228-762-4658 | |
Dr. Brian K Spencer, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 4505 Hospital St Ste A, Pascagoula, MS 39581 Phone: 228-762-1525 Fax: 228-769-2635 |