Advanced Eyecare, LLC
Advanced Eyecare, LLC is a healthcare organization registered as Optometrist in Picayune, MS, holding Type 2 (organization) NPI 1104045665 since 2007. The authorized official on file is Kraig Stasney, Optometrist.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104045665 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Advanced Eyecare, LLC |
| Practice address | 5 ALEX PL, Picayune, MS, 39466 |
| Phone | 6017990707 |
| Fax | 6017990700 |
| Enumeration date | 2007-04-24 |
| Last updated in NPPES | 2017-12-13 |
Authorized official
| Name | Kraig Stasney |
|---|---|
| Title | Optometrist |
| Phone | 6017990707 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 152W00000X | Optometrist | Primary | 611 | MS |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05152521 | Medicaid | MS | — |
Copy-ready billing details
Provider: Advanced Eyecare, LLC NPI: 1104045665 Taxonomy: 152W00000X (Optometrist) Address: 5 ALEX PL, Picayune, MS, 39466
Verify this record
Cross-check NPI 1104045665 against the authoritative CMS record: view Advanced Eyecare, LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Where is Advanced Eyecare, LLC located?
Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2017-12-13.