Eye Clinic Of Meridian Pllc | |
1301 20th Ave, Meridian, MS 39301-4121 | |
(601) 485-2368 | |
(601) 693-2174 |
Full Name | Eye Clinic Of Meridian Pllc |
---|---|
Type | Facility |
Speciality | Ophthalmology |
Location | 1301 20th Ave, Meridian, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942285564 | NPI | - | NPPES |
051550437 | Medicaid | AL | |
009943235 | Medicaid | AL | |
180041975 | Other | AL | DR MASON-RR MEDICARE |
00880212 | Medicaid | MS | |
051550436 | Medicaid | AL | |
00116589 | Medicaid | MS | |
00116642 | Medicaid | MS | |
051554358 | Other | AL | DR JOHNSON-RR MEDICARE |
180041976 | Other | AL | DR MARASCALCO-RR MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | (* (Not Available)) | Secondary |
207W00000X | Ophthalmology | (* (Not Available)) | Primary |
Provider Name | Eric J Johnson |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1154345486 PECOS PAC ID: 3779480371 Enrollment ID: I20031212000575 |
Provider Name | Don Edward Marascalco |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1649294935 PECOS PAC ID: 9335045905 Enrollment ID: I20110113000303 |
Provider Name | John Lawrence Mason |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1568486884 PECOS PAC ID: 4486667250 Enrollment ID: I20160425001174 |
Provider Name | Cassie N Confait |
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Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1912347105 PECOS PAC ID: 7012236359 Enrollment ID: I20170919002131 |
Mailing Address | Practice Location Address |
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Eye Clinic Of Meridian Pllc Po Box 1551, Meridian, MS 39302-1551 Ph: (601) 485-2368 | Eye Clinic Of Meridian Pllc 1301 20th Ave, Meridian, MS 39301-4121 Ph: (601) 485-2368 |