Active NPI
Lagniappe Eye Care Inc.
- Optometrist
- Hattiesburg, MS
National Provider Identifier
1447511571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 689
- Legal business name
- LAGNIAPPE EYE CARE INC.
- Practice address
- 6152 U S Highway 98
Suite 30
Hattiesburg, MS 39402-4200 - Phone
- (601) 336-8062
- NPI assigned
- Jun 5, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Deborah Marcev, OD
- Title
- President
- Phone
- (601) 329-1796
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 689 | MS | Primary |
Addresses
Primary practice location
6152 U S Highway 98
Suite 30
Hattiesburg, MS 39402-4200
Mailing address
6152 U S Highway 98
Suite 30
Hattiesburg, MS 39402-4200
Phone (601) 336-8062
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00880226 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6169 U S Highway 98
Hattiesburg, MS 39402
Phone (601) 335-8368
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Hattiesburg, MS
- NPI 1154365542
-
- Optometrist
- Hattiesburg, MS
- NPI 1376277269
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428883200000",
"number": "1447511571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6152 U S HIGHWAY 98",
"address_2": "SUITE 30",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394024200",
"telephone_number": "601-336-8062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6152 U S HIGHWAY 98",
"address_2": "SUITE 30",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394024200",
"telephone_number": "601-336-8062"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAGNIAPPE EYE CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-05",
"last_updated": "2015-04-13",
"status": "A",
"authorized_official_last_name": "MARCEV",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "601-329-1796",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "689",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00880226",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.