Brent Coleman Laircey, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

002175 Issued in GA

Practice address

820 US Highway 80 E
Statesboro, GA 30461-0800

Phone

(912) 489-3937

Fax

(912) 489-7655

NPI assigned

Jun 25, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2004

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Laircey Eye Services PC

  • Optometrist
  • Statesboro, GA
  • NPI 1831389949
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447286976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 COLFAX STATION DR",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304580107",
            "telephone_number": "912-764-5110",
            "fax_number": "912-489-7655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 US HIGHWAY 80 E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304610800",
            "telephone_number": "912-489-3937",
            "fax_number": "912-489-7655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIRCEY",
        "first_name": "BRENT",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "002175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke Daniel Krautter, M.D.
• Tiffany Kreun, ACNP
• Kriss Enterprises, Inc (Foot Solutions Statesboro)
• Joseph P Kropp, PHD
• Laircey Eye Services PC
• Lisa Finch Laircey, PHARMD
• Ashley Lake
• Francis T Lake Jr., M.D.
• Kiersten Lake
• Suzette Kaye Lambert, M.A. MFT

• Optometrist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Optometrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.