| Wiley Vision Care Llc | |
|
200 Market Place Dr, Richland, MS 39218 | |
| (601) 420-2101 | |
| Not Available |
| Full Name | Wiley Vision Care Llc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 200 Market Place Dr, 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 |
|---|---|---|---|
| 1710177688 | NPI | - | NPPES |
| 00272896 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 721 (Mississippi) | Primary |
| Provider Name | Mark E Wiley |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1992750780 PECOS PAC ID: 7113975830 Enrollment ID: I20050110000824 |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley Vision Care Llc Po Box 180369, Richland, MS 39218-0369 Ph: (601) 397-0095 | Wiley Vision Care Llc 200 Market Place Dr, Richland, MS 39218 Ph: (601) 420-2101 |
Optical 2000 Of Richland Optometrist Medicare: Medicare Enrolled Practice Location: 655 Highway 49 S, Suite M, Richland, MS 39218 Phone: 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 | |
Dr. Mark Eugene Wiley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Market Pl, Richland, MS 39218 Phone: 601-420-2101 |