Advanced Eyecare, LLC
NPI 1104045665ActiveOrganization· Optometrist· Picayune, MS
Optometrist in Picayune, Mississippi, registered in NPPES in April 2007. The authorized official on file is Kraig Micheal Stasney, O.D., Optometrist. Enrolled in Medicare as part b supplier - clinic/group practice and dme supplier - physician - optometrist.
Overview
| NPI | 1104045665 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 24, 2007 |
| Last updated in NPPES | Dec 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | 611 | MS |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (LA); DME Supplier - Physician - Optometrist (MS); Part B Supplier - Clinic/Group Practice (MS) |
|---|
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