Advanced Vision Center Pllc is a medicare enrolled "Ophthalmology" provider in Laurel, Mississippi. Their current practice location is
705 Sawmill Rd, Laurel, Mississippi. You can reach out to their office (for appointments etc.) via phone at
(601) 649-2450.
Advanced Vision Center Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Advanced Vision Center Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1538341839.
Healthcare Provider's Profile
| Full Name | Advanced Vision Center Pllc |
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| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 705 Sawmill Rd, Laurel, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1538341839
- Provider Enumeration Date: 11/29/2007
- Last Update Date: 04/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 2668415043
- Enrollment ID: O20050607000289
Medical Identifiers
Medical identifiers for Advanced Vision Center Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538341839 | NPI | - | NPPES |
| 200001782 | Medicaid | MS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Advanced Vision Center Pllc acts as a billing entity for following providers:
| Provider Name | John B Lyon |
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| Provider Type | Practitioner - Ophthalmology |
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| Provider Identifiers | NPI Number: 1336208305
PECOS PAC ID: 0749178416
Enrollment ID: I20050610000060 |
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| Provider Name | Jennifer L Dooley |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1568832483
PECOS PAC ID: 6305190950
Enrollment ID: I20181116001879 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Advanced Vision Center Pllc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Advanced Vision Center Pllc
Po Box 1965,
Laurel, MS 39441-1965
Ph: (601) 649-2450 | Advanced Vision Center Pllc
705 Sawmill Rd,
Laurel, MS 39440-3937
Ph: (601) 649-2450 |
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