NPIMap

Organization Active NPI

Brown Eyed Girls PLLC

Doing business as Eyedok

  • Optometrist
  • Ocean Springs, MS
National Provider Identifier
1811770696
Registry record updated Aug 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BROWN EYED GIRLS PLLC
Doing business as
Eyedok
Practice address
2510 Bienville Blvd
Ocean Springs, MS 39564-3117
Phone
(228) 875-3318
Fax
(228) 875-3398
NPI assigned
Aug 16, 2023
Last updated
Aug 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2023

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

Authorized official

Name
Shantel Nunez, ODNPI 1811568298
Title
Owner/Optometrist
Phone
(228) 282-5036

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)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2510 Bienville Blvd
Ocean Springs, MS 39564-3117

Mailing address

13018 Desoto Bluff Cir
Vancleave, MS 39565-6582
Phone (228) 282-5036

Other names 1

  • Eyedok Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240103001386 MS Part B Supplier - Clinic/Group Practice 5496105439 Receives reassigned benefits from 7 practitioners
Practice locations: Biloxi, MS; Ocean Springs, MS
O20241227001946 MS DME Supplier - Physician - Optometrist 5496105439 Practice locations: Ocean Springs, MS

National Provider Directory

National Provider Directory

Locations

506 Larcher Blvd
Keesler AFB, MS 39534
Phone (228) 432-8272

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1811770696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13018 DESOTO BLUFF CIR",
            "city": "VANCLEAVE",
            "state": "MS",
            "postal_code": "395656582",
            "telephone_number": "228-282-5036",
            "fax_number": "228-875-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "395643117",
            "telephone_number": "228-875-3318",
            "fax_number": "228-875-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROWN EYED GIRLS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "SHANTEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "228-282-5036",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedok",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocean Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.

Verify at the official NPI Registry.