Organization Active NPI

Gilich Enterprises, LLC

  • Optometrist
  • Pascagoula, MS
National Provider Identifier
1417227604
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GILICH ENTERPRISES, LLC
Doing business as
VisualEyes Clinic
Practice address
4253 Denny Ave
Pascagoula, MS 39581-5502
Phone
(228) 627-9838
Fax
(228) 762-4658
NPI assigned
Jan 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Johneen E Gilich, O.D.NPI 1639258411
Title
Optometrist / Owner
Phone
(228) 627-9838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4253 Denny Ave
Pascagoula, MS 39581-5502

Mailing address

4253 Denny Ave
Pascagoula, MS 39581-5502
Phone (228) 627-9838

Other names 1

  • VisualEyes Clinic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120312000364 MS Part B Supplier - Clinic/Group Practice 6002075017 Receives reassigned benefits from 1 practitioner
2 other NPIs on this enrollment
Practice locations: Biloxi, MS

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1325721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1417227604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4253 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815502",
            "telephone_number": "228-627-9838",
            "fax_number": "228-762-4658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4253 DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815502",
            "telephone_number": "228-627-9838",
            "fax_number": "228-762-4658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GILICH ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-05",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "GILICH",
        "authorized_official_first_name": "JOHNEEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST / OWNER",
        "authorized_official_telephone_number": "228-627-9838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VisualEyes Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pascagoula, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.