PREMIER EYE CLINIC , PLLC
NPI 1164509675
Optometrist in Pascagoula, MS

Active since November 01, 2006
4505 HOSPITAL ST STE A, PASCAGOULA, MS 39581(228) 762-1525(228) 769-2635 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Premier Eye Clinic , Pllc NPPES

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

PREMIER EYE CLINIC , PLLC (NPI 1164509675) is a healthcare organization registered as an optometrist in Pascagoula, Mississippi and active in the NPI registry since November 2006. The organization lists Brian K Spencer, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1164509675
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePREMIER EYE CLINIC , PLLC
Location Address4505 HOSPITAL ST STE APascagoula, MS 39581-5302
Mailing Address4505 Hospital St Ste APascagoula, MS 39581-5302 · (228) 762-1525 · Fax (228) 769-2635
Fax(228) 769-2635
Organization SubpartNo
Authorized OfficialBrian K SpencerCo-owner · (228) 762-1525
Enumeration DateNovember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164509675 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 · 526 AND 653
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.
4505 HOSPITAL ST STE A, Pascagoula, MS 39581

Other Identifiers 2

Medicaid00880168MS
Medicaid0087006MS

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Eye Clinic , Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Premier Eye Clinic , PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Optometry
NPI 1114538527
4505 HOSPITAL ST STE A
Pascagoula, MS 39581
(228) 762-1525
✔ PECOS✔ Accepts MedicareSame address
Optometry
NPI 1780709279
11228 HWY 63S
Lucedale, MS 39452
(601) 766-3800
✔ PECOS✔ Accepts Medicare36 mi
Optometry
NPI 1891810396
11228 HWY 63 S
Lucedale, MS 39452
(601) 766-3800
✔ PECOS✔ Accepts Medicare36 mi

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

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 Premier Eye Clinic , PLLC's NPI number?

The NPI number for Premier Eye Clinic , PLLC is 1164509675. It was assigned to this organization in the NPPES registry on November 1, 2006.

Where is Premier Eye Clinic , PLLC located?

Premier Eye Clinic , PLLC is located at 4505 Hospital St Ste A, Pascagoula, MS 39581. The listed phone number is (228) 762-1525.

What is Premier Eye Clinic , PLLC's specialty?

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

Is Premier Eye Clinic , PLLC enrolled in Medicare?

Yes. Premier Eye Clinic , PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Eye Clinic , PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Optometry, reassign their Medicare billing to Premier Eye Clinic , PLLC. 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Premier Eye Clinic , PLLC accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Cigna Healthcare, Molina Healthcare and Oscar Health Plan, Inc. list Premier Eye Clinic , PLLC 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 Premier Eye Clinic , PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.