Long Beach Precision Vision LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

929 Issued in MS

Legal business name

LONG BEACH PRECISION VISION LLC

Practice address

202 E Railroad St
Long Beach, MS 39560-4627

Phone

(228) 868-2020

Fax

(228) 863-2695

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jason Wilson, O.D.NPI 1316321730

Title

Owner

Phone

(228) 868-2020

Specialties & licenses 1

Addresses

Other names 1

• Precision Vision Doing business as

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Jason Wilson, O.D.

  • Optometrist
  • Long Beach, MS
  • NPI 1316321730

  MS, Optometrist

  Medicare reassignment Care Compare group NPD Authorized official
• Richard Clark

  • Optometrist
  • Long Beach, MS
  • NPI 1184477085

  MS, Optometrist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1750813010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 E RAILROAD ST",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604627",
            "telephone_number": "228-868-2020",
            "fax_number": "228-863-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 E RAILROAD ST",
            "city": "LONG BEACH",
            "state": "MS",
            "postal_code": "395604627",
            "telephone_number": "228-868-2020",
            "fax_number": "228-863-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG BEACH PRECISION VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "228-868-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• George Louis Leonard, M.D.
• Pamela Libys
• Long Beach Drugs LLC
• Long Beach Drugs, LLC
• Long Beach Physical Therapy, LLC
• Amber Lynn Lowe, LMSW
• Gerri Mack, FNP-C
• Laurel Malley, RPH
• Dustin Marmalich, MD
• Thea Rochelle Martin, LMT,

• All providers in Long Beach, MS
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.