| See Side Optical Inc | |
|
5405 Indian Hill Blvd, Diamondhead, MS 39525-3324 | |
| (228) 255-8585 | |
| Not Available |
| Full Name | See Side Optical Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 5405 Indian Hill Blvd, Diamondhead, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962658203 | NPI | - | NPPES |
| 1962658203 | Other | MS | NPI |
| 00880009 | Medicaid | MS | |
| 1902060643 | Other | MS | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 574 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| See Side Optical Inc 5405 Indian Hill Blvd, Diamondhead, MS 39525-3324 Ph: () - | See Side Optical Inc 5405 Indian Hill Blvd, Diamondhead, MS 39525-3324 Ph: (228) 255-8585 |
Joseph E Gregory, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5405 Indian Hill Blvd, Diamondhead, MS 39525 Phone: 228-255-8585 Fax: 228-875-2092 | |
Debra Gregory, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5405 Indian Hill Blvd, Diamondhead, MS 39525 Phone: 228-255-8585 |