Picayune Eye Clinic

Primary specialty

OptometristTaxonomy code 152W00000X

License

559 Issued in MS

Legal business name

PICAYUNE EYE CLINIC

Practice address

908 Sixth Ave
Picayune, MS 39466-3802

Phone

(601) 798-4182

Fax

(601) 798-4770

NPI assigned

Mar 20, 2006

Last updated

Mar 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori L Blackmer, O.D.NPI 1760451595

Title

Owner

Phone

(601) 798-4182

Specialties & licenses 1

Addresses

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

Tax ID family

Picayune 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.

• Picayune Eye Clinic

  dba Poplarville Eye Clinic

  • Optometrist
  • Poplarville, MS
  • NPI 1659546802
  NPD tax ID

Locations

Practitioners 5

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.

• Lori L Blackmer, O.D.

  • Optometrist
  • Picayune, MS
  • NPI 1760451595
  Medicare reassignment Care Compare group NPD Authorized official
• Bonnie Elizabeth Keaton, OD

  • Optometrist
  • Picayune, MS
  • NPI 1306435722
  Medicare reassignment Care Compare group NPD
• Hannah Massengale I, O.D.

  • Optometrist
  • Picayune, MS
  • NPI 1487491536
  Medicare reassignment Care Compare group NPD
• Marc Hautot, O.D.

  • Optometrist
  • Bogalusa, LA
  • NPI 1346215274

  MS

  Medicare reassignment Care Compare group NPD
• Erin R Anderson, O.D.

  • Optometrist
  • Bethel Park, PA
  • NPI 1811220601

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268870400000",
    "number": "1922067016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 SIXTH AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663802",
            "telephone_number": "601-798-4182",
            "fax_number": "601-798-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 SIXTH AVE",
            "city": "PICAYUNE",
            "state": "MS",
            "postal_code": "394663802",
            "telephone_number": "601-798-4182",
            "fax_number": "601-798-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PICAYUNE EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-20",
        "last_updated": "2010-03-18",
        "status": "A",
        "authorized_official_last_name": "BLACKMER",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-798-4182",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Picayune Chiropractic, PLLC
• Picayune Clinic LLC (Crosby Memorial Hospital)
• Picayune Drug Co. North
• Picayune Drug Co., Inc.
• Picayune Drug Co., Inc.
• Picayune Family Health Center
• Picayune Family Practice Clinic, LLC (Picayune Family Clinic)
• Picayune General Dentistry, Inc.
• Picayune Homecare, LLC (Mississippi HomeCare of Picayune)
• Picayune Medical & Health Supplies Inc

• Optometrist in Picayune, MS
• Providers in Picayune, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; 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.