MEDICARE: EYE CARE OPTICAL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332H00000X	Eyewear Supplier

General Provider Information

NPI Number	:	1982718532
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EYE CARE OPTICAL

Provider Business Mailing Address
First Line	:	3420 BIENVILLE BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5732
Country	:	US
Telephone Number	:	228-875-3937
Fax Number	:	228-875-3930

Provider Business Practice Location Address
First Line	:	3420 BIENVILLE BLVD
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564-5732
Country	:	US
Telephone Number	:	228-875-3937
Fax Number	:	228-875-3930

Authorized Official
Title or Position	:	OWNER
Name	:	DR. GEORGE M. THURBER
Credential	:	M.D.
Telephone Number	:	228-875-3937

Provider Enumeration Date	:	08/19/2006
Last Update Date	:	08/22/2020

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Practice Location Address:

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39564-5732

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1972506020 — MRS. HOLLY E BOWIE OD
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1194839779 — DR. GEORGE M. THURBER M.D.
Practice Location Address:

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39564-5732

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1487768024 — CENTER FOR EYE CARE LTD
Practice Location Address:

3420 BIENVILLE BLVD
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39564-5732

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1891833828 — JANUS KULPA M.D.
Practice Location Address:

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39564-5732

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1518005388 — MRS. CINDI KAUVEIYAKUL-FOX PA-C
Practice Location Address:

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Directions to “EYE CARE OPTICAL ” Practice Location

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