DR. AVIT JOHN GREMILLION III (NPI# 1861479529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861479529 |
| Entity Type | Individual |
| Full Name | DR. AVIT JOHN GREMILLION III |
| Other Name | FRERE GREMILLION |
| Credential | MD |
| Practice Address |
962 Tommy Munro Dr. Suite B Biloxi MS 39532-2138 |
| Practice Telephone | 2283887000 |
| Practice Fax Number | 2282070522 |
| Mailing Telephone | 2283887000 |
| Mailing Fax Number | 2282070522 |
| Enumeration Date | 2005-12-23 |
| Last Update Date | 2012-03-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 023984 | LA | Allopathic & Osteopathic Physicians |
| Y | 207W00000X | Ophthalmology | 17239 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 05109745 | 05 | |
| LA | 1486787 | 05 | |
| MS | MEDICARE RAILROAD | 180000355 | 01 |
| MS | 05109145 | 05 | |
| MS | AETNA | 7812033 | 01 |
| Street Address |
962 TOMMY MUNRO DR. SUITE B |
| City | BILOXI |
| State | MS |
| Zip Code | 39532-2138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477603074 | Vitreoretinal Eye Center, PC | Clinic/Center | 962 Tommy Munro Dr., Suite B, Biloxi, MS 39532-2138 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427693613 | Bloom Mental Health LLC | Nurse Practitioner | 933 Tommy Munro Dr., Suite C, Biloxi, MS 39532 | 2019-11-12 |
| 1003397530 | The National Diabetes & Obesity Research Institute At Tradition, Missi | Dietitian, Registered | 19289 St. Joseph Street, Suite C, Biloxi, MS 39532 | 2018-08-23 |
| 1134588999 | Victoria Leonard Scott | Counselor | 6905 Gregory Dr, Biloxi, MS 39532 | 2016-02-22 |
| 1639552490 | Laura O'keefe | Nurse Practitioner | 1720a Medical Park Dr Ste 150, Biloxi, MS 39532 | 2015-06-29 |
| 1659767150 | D'iberville Home Program LLC | Clinic/Center | 14215 Cook Road, Biloxi, MS 39532 | 2015-04-10 |
| 1467842476 | Alicia Michelle Mcdaniel | Nurse Practitioner | 14209 Cook Rd Suite 200, Biloxi, MS 39532 | 2015-01-28 |
| 1437402393 | Lisa Q. Brown | Occupational Therapist | 680 Bay Cove Drive, Residents At Baycove, Biloxi, MS 39532 | 2012-10-17 |
| 1962759381 | Joshua Shumway | Physical Therapist | 220 Ploesti Dr, Keesler Afb, MS 39532 | 2012-08-06 |
| 1386912483 | Polk's Crossgates Discount Drugs Inc. | Pharmacy | 1845 Popps Ferry Road, Biloxi, MS 39532 | 2011-12-05 |
| 1346566957 | Kerri Lyn Manjarrez | Social Worker | 12304 Tiffany Lane, Biloxi, MS 39532 | 2010-04-08 |
| Find all providers in zip 39532 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992145361 | Clayton Stevens | Ophthalmology | 2541 Pass Rd Ste G, Biloxi, MS 39531-2112 | 2013-07-01 |
| 1295937183 | Anne Elizabeth Baranano | Ophthalmology | 2781 C T Switzer Sr Dr Ste 100, Biloxi, MS 39531-4535 | 2007-06-03 |
| 1336773878 | Stevens Eye Care, PC | Ophthalmology | 2541 Pass Rd Ste G, Biloxi, MS 39531-2112 | 2020-02-24 |
| 1518209543 | Jennifer Julianna Olds | Ophthalmology | 301 Fisher St, Biloxi, MS 39534-2508 | 2013-03-16 |
| 1104051911 | Ruben Kuruvilla | Ophthalmology | Gulf Coast Veterans Health Care System, 400 Veterans Avenue, Biloxi, MS 39531 | 2009-05-22 |
| 1972726636 | Jonathan Edward Ellis | Ophthalmology | 301 Fisher St, Biloxi, MS 39534-2508 | 2007-04-11 |
| 1972678134 | Eye Associates of The South Pllc | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-11-22 |
| 1710993670 | Janet Carriere Harrison | Ophthalmology | 400 Veterans Ave, Biloxi, MS 39531-2410 | 2006-07-31 |
| 1831117019 | Joel M Knight | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-07-17 |
| 1861410904 | Rainna P Bahadur | Ophthalmology | 1720a Medical Park Dr, Suite 330, Biloxi, MS 39532-2129 | 2006-07-17 |
| Find all providers in BILOXI | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.