Active NPI
Johneen Gilich, OD
- Optometrist
- Picayune, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 764
- Practice address
- 235 Frontage Rd
Picayune, MS 39466-7587 - Phone
- (228) 861-6989
- Fax
- (601) 799-4685
- NPI assigned
- Nov 3, 2006
- Last updated
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1428-569T | LA | |
| Optometrist | 152W00000X | 764 | MS | Primary |
Addresses
Primary practice location
235 Frontage Rd
Picayune, MS 39466-7587
Mailing address
2318 Pass Rd Ste 1
Biloxi, MS 39531-4044
Phone (228) 967-7813
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2318 Pass Rd
Suite 1
Biloxi, MS 39531-4044
Phone (228) 967-7813
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1428-569T | LA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gilich Enterprises, LLC | Optometrist | Current | Accepting new patients |
| Jason Wonch, O.D. and Associates, a.P.C. | Optometrist | Past | Accepting new patients |
| Edgewater Eyecare, Inc | Optometrist | Past | Accepting new patients |
Locations
2318 Pass Rd
Ste 1
Biloxi, MS 39531
Phone (228) 388-1115
2681 C T Switzer SR Dr
Biloxi, MS 39531
Phone (228) 385-1042
235 Frontage Rd
#B
Picayune, MS 39466
Phone (601) 798-0103
Organizations & group practices 4
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.
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- Optometrist
- Biloxi, MS
- NPI 1538351101
-
dba Visionworks
- Optometrist
- Lake Charles, LA
- NPI 1295769008
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603411200000",
"number": "1639258411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2318 PASS RD STE 1",
"city": "BILOXI",
"state": "MS",
"postal_code": "395314044",
"telephone_number": "228-967-7813",
"fax_number": "228-967-7814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235 FRONTAGE RD",
"city": "PICAYUNE",
"state": "MS",
"postal_code": "394667587",
"telephone_number": "228-861-6989",
"fax_number": "601-799-4685"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILICH",
"first_name": "JOHNEEN",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2020-10-23",
"certification_date": "2020-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "LA",
"license": "1428-569T",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Picayune, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.