Provider Demographics
NPI:1023246139
Name:EYE CARE ASSOCIATES
Entity type:Organization
Organization Name:EYE CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:GELAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NECAISE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-649-1437
Mailing Address - Street 1:825 F E SELLERS HWY
Mailing Address - Street 2:
Mailing Address - City:MONTICELLO
Mailing Address - State:MS
Mailing Address - Zip Code:39654-9378
Mailing Address - Country:US
Mailing Address - Phone:601-587-9457
Mailing Address - Fax:
Practice Address - Street 1:825 F E SELLERS HWY
Practice Address - Street 2:
Practice Address - City:MONTICELLO
Practice Address - State:MS
Practice Address - Zip Code:39654-9378
Practice Address - Country:US
Practice Address - Phone:601-587-9457
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-26
Last Update Date:2009-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier