See Side Optical Inc | |
5405 Indian Hill Blvd, Diamondhead, MS 39525-3324 | |
(228) 255-8585 | |
Not Available |
Full Name | See Side Optical Inc |
---|---|
Type | Facility |
Speciality | Optometrist |
Location | 5405 Indian Hill Blvd, Diamondhead, Mississippi |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962658203 | NPI | - | NPPES |
1962658203 | Other | MS | NPI |
00880009 | Medicaid | MS | |
1902060643 | Other | MS | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 574 (Mississippi) | Primary |
Mailing Address | Practice Location Address |
---|---|
See Side Optical Inc 5405 Indian Hill Blvd, Diamondhead, MS 39525-3324 Ph: () - | See Side Optical Inc 5405 Indian Hill Blvd, Diamondhead, MS 39525-3324 Ph: (228) 255-8585 |
Joseph E Gregory, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 5405 Indian Hill Blvd, Diamondhead, MS 39525 Phone: 228-255-8585 Fax: 228-875-2092 | |
Debra Gregory, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 5405 Indian Hill Blvd, Diamondhead, MS 39525 Phone: 228-255-8585 |