Wiley Vision Care Llc | |
200 Market Place Dr, Richland, MS 39218 | |
(601) 420-2101 | |
Not Available |
Full Name | Wiley Vision Care Llc |
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Type | Facility |
Speciality | Optometrist |
Location | 200 Market Place Dr, Richland, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710177688 | NPI | - | NPPES |
00272896 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 721 (Mississippi) | Primary |
Provider Name | Mark E Wiley |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1992750780 PECOS PAC ID: 7113975830 Enrollment ID: I20050110000824 |
Mailing Address | Practice Location Address |
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Wiley Vision Care Llc Po Box 180369, Richland, MS 39218-0369 Ph: (601) 397-0095 | Wiley Vision Care Llc 200 Market Place Dr, Richland, MS 39218 Ph: (601) 420-2101 |
Optical 2000 Of Richland Optometrist Medicare: Medicare Enrolled Practice Location: 655 Highway 49 S, Suite M, Richland, MS 39218 Phone: 601-932-3727 | |
Envision Eye Care, Incorporated Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 Market Pl, Richland, MS 39218 Phone: 601-936-5929 | |
Dr. Mark Eugene Wiley, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 200 Market Pl, Richland, MS 39218 Phone: 601-420-2101 |