Poplarville Eye Clinic, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

685 Issued in MS

Legal business name

POPLARVILLE EYE CLINIC, LLC

Practice address

1716 S Main St
Poplarville, MS 39470-4287

Phone

(601) 795-0137

Fax

(601) 795-0148

NPI assigned

Dec 5, 2014

Last updated

Jan 5, 2024By 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

Dr. Bethany G. Harrington, ODNPI 1750350070

Title

Optometrist/Owner

Phone

(601) 795-0137

Specialties & licenses 1

Addresses

Other identifiers 1

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.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 3

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.

• Bethany G Harrington, O.D.

  • Optometrist
  • Poplarville, MS
  • NPI 1750350070
  Medicare reassignment Care Compare group NPD Authorized official
• Bonnie Elizabeth Keaton, OD

  • Optometrist
  • Picayune, MS
  • NPI 1306435722
  Medicare reassignment Care Compare group NPD
• Marc Hautot, O.D.

  • Optometrist
  • Bogalusa, LA
  • NPI 1346215274

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1962800011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 521",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394700521",
            "telephone_number": "601-795-0137",
            "fax_number": "601-795-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1716 S MAIN ST",
            "city": "POPLARVILLE",
            "state": "MS",
            "postal_code": "394704287",
            "telephone_number": "601-795-0137",
            "fax_number": "601-795-0148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPLARVILLE EYE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "BETHANY",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "601-795-0137",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880221",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pearl River Drug Co.
• Kimberly Philyaw, NP-C
• Picayune Eye Clinic (Poplarville Eye Clinic)
• Nancy Warden Pizzuto, COTA/L
• Poplarville Dental Clinic
• Poplarville Family Chiropractic
• Poplarville Home Medical LLC
• Poplarville Special Separate Municipal School District
• Prime Med Serves
• Cirila Reyes, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.