Organization Active NPI

Premier Eye Clinic,PLLC

Doing business as The Eyeglass Factory

  • Eyewear Supplier
  • Pascagoula, MS
National Provider Identifier
1790810422
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
PREMIER EYE CLINIC,PLLC
Doing business as
The Eyeglass Factory
Practice address
4505 Hospital St
Pascagoula, MS 39581-3609
Phone
(228) 769-9776
Fax
(228) 762-4114
NPI assigned
Feb 22, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Brian L Hunt, O.D.
Title
Optometrist
Phone
(228) 769-9776

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X MS Primary

Addresses

Primary practice location

4505 Hospital St
Pascagoula, MS 39581-3609

Mailing address

4505 Hospital St
Pascagoula, MS 39581-3609
Phone (228) 769-9776

Other identifiers 1

IdentifierTypeStateIssuer
00089082MedicaidMS

Other names 1

  • THE EYEGLASS FACTORY Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Premier Eye Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4505 Hospital St
Pascagoula, MS 39581
Phone (228) 769-9776

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790810422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395813609",
            "telephone_number": "228-769-9776",
            "fax_number": "228-762-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 HOSPITAL ST",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395813609",
            "telephone_number": "228-769-9776",
            "fax_number": "228-762-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER EYE CLINIC,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "228-769-9776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00089082",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE EYEGLASS FACTORY",
            "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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.