Gregory D Loose Od | |
1113 Central Ave E, Wiggins, MS 39577 | |
(601) 928-3914 | |
(601) 928-2207 |
Full Name | Gregory D Loose Od |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 1113 Central Ave E, Wiggins, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790962637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 758 (Mississippi) | Primary |
Provider Name | Gregory D Loose |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013096825 PECOS PAC ID: 3173629904 Enrollment ID: I20070510000425 |
Provider Name | Max M Edrington |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1336172428 PECOS PAC ID: 0749353084 Enrollment ID: I20080721000422 |
Provider Name | Dillon Eugene Ott |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1013360957 PECOS PAC ID: 6406138783 Enrollment ID: I20170505000040 |
Provider Name | Breeley Od Sellier |
---|---|
Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1780253633 PECOS PAC ID: 1456756204 Enrollment ID: I20210817004280 |
Mailing Address | Practice Location Address |
---|---|
Gregory D Loose Od 1113 Central Ave E, Wiggins, MS 39577 Ph: (601) 928-3914 | Gregory D Loose Od 1113 Central Ave E, Wiggins, MS 39577 Ph: (601) 928-3914 |
Dr. Gregory D Loose, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1113 Central Ave E, Wiggins, MS 39577 Phone: 601-928-3914 Fax: 601-928-2207 | |
Dr. Dillon Ott, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1113 Central Ave E, Wiggins, MS 39577 Phone: 601-928-3914 Fax: 601-928-2207 |