POPLARVILLE EYE CLINIC
NPI 1659546802
Optometrist in Poplarville, MS

Q: What is Picayune Eye Clinic's NPI number?

The NPI number for Picayune Eye Clinic is 1659546802. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Poplarville Eye Clinic.

Q: What is Picayune Eye Clinic's specialty?

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

Active since April 29, 2008CLIA 25D2210069 · Waiver

1249 S MAIN ST, POPLARVILLE, MS 39470(601) 795-0137(601) 798-4770 Get Directions Write a Review

NPPES record last updated: July 16, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Poplarville Eye Clinic NPPES

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

POPLARVILLE EYE CLINIC (NPI 1659546802) is a healthcare organization registered as an optometrist in Poplarville, Mississippi and active in the NPI registry since April 2008. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Lori L Blackmer, Owner, as its authorized official.

NPPES Registry Identity

NPI1659546802

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NamePICAYUNE EYE CLINIC

Location Address1249 S MAIN STPoplarville, MS 39470-3313

Mailing Address908 Sixth AvePicayune, MS 39466 · (601) 798-4182 · Fax (601) 798-4770

Phone(601) 795-0137

Fax(601) 798-4770

Organization SubpartNo

Authorized OfficialLori L BlackmerOwner · (601) 798-4182

Enumeration DateApril 29, 2008

Last NPPES UpdateJuly 16, 2008

✔ NPI 1659546802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

Licenses✔ Licensed in MS · 559✔ Licensed in MS · 584

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.

1249 S MAIN ST, Poplarville, MS 39470

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Other Names 1

Doing Business AsPoplarville Eye Clinic

Other Identifiers 21

Other0661580001MS · Palmetto Gba Dmerc

Other1346215274MS · Marc A. Hautot- Npi

Other22-30045MS · United Health Care

Medicare UPINT95634MS

Other00087010MS · Lori L. Blackmer, O.d. Medicaid

Other425297177MS · Blue Cross Blue Shield

Medicaid00880221MS

OtherT95634MS · Lori L. Blackmer, O.d. Upin

Other435044954DMS · Blue Cross Blue Shield-dr Marc A. Hautot

Other263673909MS · Lori. L Blackmer- Blue Cross Blue Shield

Other410000162MS · Medicare-dr Marc A. Hautot

Other410000163MS · Medicare

OtherMS0685MS · Eye Med

OtherU92635MS · Upin

Other1750350070MS · Bethany Harrington, O.d. Npi

Medicaid00880022MS

OtherP00043499MS · Medicare Railroad Retirement

Other09014613MS · Ms Medicaid Group Prov#

Other1760451595MS · Lori L. Blackmer, . O.d. Npi

Other410000267MS · Medicare

Other410012249MS · Medicare Rail Road

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 MULTIPLE SINGLE SPECIALTY GROUP

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 25D2210069

Poplarville Eye Clinic · Poplarville, MS

Active · expires Jan 18, 2027

CLIA Number25D2210069

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 19, 2025

Certificate Expiration DateJanuary 18, 2027

Laboratory DirectorDr. Bethany G. Harrington

Laboratory Phone(601) 795-0137

Laboratory LocationPoplarville Eye Clinic1716 S Main St, Poplarville, MS 39470

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Picayune Eye Clinic's NPI number?

The NPI number for Picayune Eye Clinic is 1659546802. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Poplarville Eye Clinic.

Where is Picayune Eye Clinic located?

Picayune Eye Clinic is located at 1249 S Main St, Poplarville, MS 39470. The listed phone number is (601) 795-0137.

What is Picayune Eye Clinic's specialty?

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

Does Picayune Eye Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 25D2210069) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Picayune Eye Clinic was last updated on July 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.