MISSISSIPPI EYE LLC (NPI# 1194190496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194190496 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI EYE LLC |
| Practice Address |
1309 Highway 35 S Forest MS 39074-5010 |
| Mailing Address |
202 Memory Ln Madison MS 39110-6890 |
| Practice Telephone | 4044817931 |
| Mailing Telephone | 4044817931 |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2015-12-11 |
| Authorized Official Name | CHRISTOPHER COOK (CEO) |
| Authorized Official Telephone | 4044817931 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | MS828 | MS | Eye and Vision Services Providers |
| Street Address |
1309 HIGHWAY 35 S |
| City | FOREST |
| State | MS |
| Zip Code | 39074-5010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184641599 | Wal-mart Stores East Lp | Pharmacy | 1309 Highway 35 S, Forest, MS 39074-5010 | 2006-07-16 |
| 1851992770 | Lauren Oswalt | Pharmacist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2020-11-06 |
| 1629678966 | Natalie Grundel | Pharmacist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2020-10-27 |
| 1518567908 | Margaret Lee Jones | Pharmacist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2020-10-27 |
| 1033719554 | Stephanie Carroll Hodges | Pharmacist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2020-10-26 |
| 1457576340 | Alex Bahl Pllc | Optometrist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2007-04-16 |
| 1033288345 | Quick Quality Care Or Mississippi, LLCdba Checkups | Clinic/Center | 1309 Highway 35 S, Forest, MS 39074-5010 | 2006-11-08 |
| 1932298726 | Wal-mart Stores East, Lp | Technician/Technologist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2006-10-12 |
| 1437240215 | Alexandria Bahl | Optometrist | 1309 Highway 35 S, Forest, MS 39074-5010 | 2006-09-27 |
| 1629178769 | Rita Carol Beasley | Family Medicine | 1309 Highway 35 S, Forest, MS 39074-5010 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467095927 | Tamatha Nicole Owen | Nurse Practitioner | 1061 Highway 35 S, Forest, MS 39074 | 2019-10-28 |
| 1154687838 | Region Ten Commission On Mental Health | Clinic/Center | 13682 Hwy 80 West, Forest, MS 39074 | 2012-04-06 |
| 1053567636 | Cathy G Cooper | Physical Therapist | 813 West 3rd Street, Forest, MS 39074 | 2008-08-14 |
| 1487866158 | Terry Ann Meadows | Clinic/Center | 330 North Broad St, Forest, MS 39074 | 2007-05-04 |
| 1770702144 | Randy K Reynolds | Dentist | 208 West 3rd Street, Forest, MS 39074 | 2007-04-24 |
| 1215067293 | John B. Smith, Jr. Dmd, Pa | Dentist | 1040 Highway 35 South, Drawer 30, Forest, MS 39074 | 2007-03-07 |
| 1225189244 | Douglas F Harvel, Jr | Dentist | 1040 Highway 35 S, Forest, MS 39074 | 2007-01-16 |
| 1861542433 | Forest Dental Practice Pllc | Dentist | Po Drawer 30, Forest, MS 39074 | 2007-01-12 |
| 1306996970 | John B Smith Jr. | Dentist | 1040 Hwy 35 South, Forest, MS 39074 | 2007-01-12 |
| 1295821072 | Buddy Lee Eady | Chiropractor | 500 East 3rd St., Forest, MS 39074 | 2006-10-05 |
| Find all providers in zip 39074 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891323101 | Sharpvue Eyecare Pllc | Optometrist | 15243 Forest Rd Ste E, Forest, VA 24551-4974 | 2020-03-31 |
| 1083266498 | Royce Vandiver Miles Jr. | Optometrist | 521 Deerfield Dr, Forest, MS 39074-6006 | 2019-07-15 |
| 1225162365 | James E. Wright, Jr., O.d., P.a. | Optometrist | 143 W Third St, Forest, MS 39074-4103 | 2007-03-14 |
| 1952432262 | Bradley Majors Thompson | Optometrist | 521 Deerfield Drive, Forest, MS 39074-6006 | 2007-03-08 |
| 1417048620 | Randy Dawayne Eason | Optometrist | 516 Airport Rd, Forest, MS 39074-4032 | 2006-09-27 |
| 1427062280 | Anna H Farouq | Optometrist | 15243 Forest Rd, Ste E, Forest, VA 24551-4974 | 2006-07-28 |
| 1659379782 | Norman Miles Kahn | Optometrist | 17835 Forest Rd, Suite B, Forest, VA 24551-4043 | 2005-07-12 |
| 1083076400 | Jessie Pierce | Optometrist | 1825 Graves Mill Rd, Forest, VA 24551-3967 | 2016-03-24 |
| 1306254057 | Southern Eye Care of Forest | Optometrist | 143 W Third St, Forest, MS 39074-4103 | 2014-07-25 |
| 1871763524 | R. D. Eason Od Pa | Optometrist | 516 Airport Rd, Forest, MS 39074-4032 | 2008-03-10 |
| Find all providers in FOREST | ||||
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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.