Advanced Eyecare, Llc in Picayune - Optometrist
Advanced Eyecare, Llc - NPI 1104045665
Advanced Eyecare, Llc is a Optometrist in Picayune, Mississippi. Advanced Eyecare, Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Advanced Eyecare, Llc is 1104045665. The last update date is 2017-12-13.
Advanced Eyecare, Llc's current location address is 5 Alex Pl, Picayune, Mississippi. You can contact this provider via phone number 6017990707 and fax number 6017990700. The mailing address for Advanced Eyecare, Llc is 5 Alex Pl, Picayune, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Advanced Eyecare, Llc |
|---|---|
| Address | 5 Alex Pl, Picayune, Mississippi |
| Phone Number | 6017990707 |
| Fax Number | 6017990700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Stasney Micheal Kraig |
| Credentials | O.D. |
| Telephone Number | 6017990707 |
NPI Number Detail
| NPI Number | 1104045665 |
|---|---|
| Provider Enumeration Date | 2007-04-24 |
| Last Updated Date | 2017-12-13 |
Provider Mailing Address Detail
| Address | 5 Alex Pl |
|---|---|
| City | Picayune |
| State | Mississippi (MS) |
| Post Code | 394669697 |
| Phone Number | 6017990707 |
| Fax Number | 6017990700 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 611 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5152521 | MS | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Advanced Eyecare, Llc by the Centers for Medicare & Medicaid Services?
The Advanced Eyecare, Llc has been assigned the NPI (National Provider Identifier) 1104045665. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Advanced Eyecare, Llc is physically located?
The Advanced Eyecare, Llc is situated at the following address: 5 Alex Pl, Picayune, MS 394669697.
What is Advanced Eyecare, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Advanced Eyecare, Llc is Optometrist, and the corresponding taxonomy classification code for this specialized field is 152W00000X.
On what date did the Advanced Eyecare, Llc receive its 1104045665 assignment from the Centers for Medicare & Medicaid Services?
The Advanced Eyecare, Llc was assigned its 1104045665 by the Centers for Medicare & Medicaid Services on 2007-04-24.
When was the information pertaining to Advanced Eyecare, Llc most recently updated or revised?
The details related to Advanced Eyecare, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2017-12-13.
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