Southern Eye Care of Vicksburg PA
NPI 1558089979ActiveOrganization· Optometrist· Vicksburg, MS
Optometrist in Vicksburg, Mississippi, registered in NPPES in August 2022. The authorized official on file is Jamie N. Yalian, Insurance Admin. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1558089979 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2022 |
| Last updated in NPPES | Aug 22, 2022 |
| Certified by provider | Aug 22, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
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 (MS) |
|---|
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