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ADVANCED EYECARE, LLC
NPI 1104045665
Optometrist in Picayune, MS

Active since April 24, 2007CLIA 25D2161670 · Waiver
5 ALEX PL, PICAYUNE, MS 39466(601) 799-0707(601) 799-0700 Get Directions Write a Review

NPPES record last updated: December 13, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Eyecare, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED EYECARE, LLC (NPI 1104045665) is a healthcare organization registered as an optometrist in Picayune, Mississippi and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 6, 2027 and lists Kraig Micheal Stasney, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1104045665
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameADVANCED EYECARE, LLC
Location Address5 ALEX PLPicayune, MS 39466-9697
Mailing Address5 Alex PlPicayune, MS 39466-9697 · (601) 799-0707 · Fax (601) 799-0700
Phone(601) 799-0707
Fax(601) 799-0700
Organization SubpartNo
Authorized OfficialKraig Micheal StasneyOptometrist · (601) 799-0707
Enumeration DateApril 24, 2007
Last NPPES UpdateDecember 13, 2017
✔ NPI 1104045665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in MS · 611
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
5 ALEX PL, Picayune, MS 39466
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Other Identifiers 1

Medicaid05152521MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Eyecare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Advanced Eyecare, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Kraig Stasney, O.D.
Optometry
NPI 1861598765
718 HIGHWAY 11 S STE B
Picayune, MS 39466
(601) 799-0707
✔ PECOS✔ Accepts Medicare1.2 mi
Danielle Stasney, O.D.
Optometry
NPI 1801788005
64185 HIGHWAY 41 STE B
Pearl River, LA 70452
(985) 250-8000
✔ PECOS✔ Accepts Medicare14 mi
Anh Ta, O.D.
Optometry
NPI 1790263663
64185 HWY 41 ST. B
Pearl River, LA 70452
(985) 250-8000
✔ PECOS14 mi
Gary Artigue, O.D.
Optometry
NPI 1396737813
1051 GAUSE BLVD SUITE 480
Slidell, LA 70458
(985) 649-0206
✔ PECOS19 mi
Duyen Le, O.D.
Optometry
NPI 1831927235
4601 ALCEE FORTIER BLVD
New Orleans, LA 70129
(504) 254-4900
✔ PECOS38 mi
Jarrad Berry, O.D.
Optometry
NPI 1821420712
2817 REILLY ST STOP A
Fort Bragg, NC 28310
(910) 907-8629
✔ PECOS✔ Accepts Medicare697 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 25D2161670

Advanced Eyecare, LLC · Picayune, MS
Active · expires Feb 6, 2027
CLIA Number25D2161670
Laboratory TypePractitioner Other
Certificate Effective DateFebruary 7, 2025
Certificate Expiration DateFebruary 6, 2027
Laboratory DirectorKraig M. Stasney
Laboratory Phone(601) 799-0707
Laboratory LocationAdvanced Eyecare, LLC5 Alex Place, Picayune, MS 39466
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Advanced Eyecare LLC carries, from the Medicare DMEPOS supplier directory.

Advanced Eyecare LLC

DMEPOS supplier · Picayune, MS
✔

Accepts Medicare assignment

Advanced Eyecare LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20580605
Medicare Participant SinceJune 9, 2005
Supplier Location5 Alex PlPicayune, MS 39466
Phone(601) 799-0707
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Eyecare, LLC's NPI number?

The NPI number for Advanced Eyecare, LLC is 1104045665. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Advanced Eyecare, LLC located?

Advanced Eyecare, LLC is located at 5 Alex Pl, Picayune, MS 39466. The listed phone number is (601) 799-0707.

What is Advanced Eyecare, LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Advanced Eyecare, LLC enrolled in Medicare?

Yes. Advanced Eyecare, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Eyecare, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians, all in Optometry, reassign their Medicare billing to Advanced Eyecare, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Eyecare, LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Advanced Eyecare LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

Does Advanced Eyecare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2161670) is associated with this NPI, valid through February 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Advanced Eyecare, LLC accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Alabama and 11 other insurers list Advanced Eyecare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Advanced Eyecare, LLC was last updated on December 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.