OrganizationActive
Advanced Eyecare, LLC
NPI 1104045665 · Optometrist · Picayune, MS
Provider details
- NPI number
- 1104045665
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Kraig Stasney, Optometrist(601) 799-0707
- License
- 611 (MS)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5 Alex Pl
Picayune, MS 39466-9697
Phone: (601) 799-0707
Fax: (601) 799-0700
Street-level locationGet directions
Mailing address
5 Alex Pl
Picayune, MS 39466-9697
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2017-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.