JASPER T MCCULLOUGH (NPI# 1275526105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275526105 |
| Entity Type | Individual |
| Full Name | JASPER T MCCULLOUGH |
| Other Name | J T MCCULLOUGH |
| Credential | OD |
| Practice Address |
431 Bertucci Blvd Biloxi MS 39531-2255 |
| Practice Telephone | 2283852020 |
| Practice Fax Number | 2283889435 |
| Mailing Telephone | 2283852020 |
| Mailing Fax Number | 2283889435 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2014-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 420 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00087046 | 05 | |
| MS | TPA | 94090 | 01 |
| Street Address |
431 BERTUCCI BLVD |
| City | BILOXI |
| State | MS |
| Zip Code | 39531-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295166148 | Steven Gautreaux | Registered Nurse | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2013-12-03 |
| 1053667758 | Jay Fuller | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2012-07-31 |
| 1053649558 | Popps Ferry Out-patient Surgery Center, LLC | Clinic/Center | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2009-11-23 |
| 1699744482 | Gregory Emile Bertucci | Ophthalmology | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-03-15 |
| 1194793299 | Philip L Bertucci | Ophthalmology | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-03-14 |
| 1053389627 | Charles Curtis Gipson | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-03-09 |
| 1700859881 | Tri County Eye Clinic, Pllc | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2006-02-09 |
| 1073595906 | Roderick D Fields | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306460431 | Southern Home Care Services, Inc. | In Home Supportive Care | 1901 Pass Rd, Ste C, Biloxi, MS 39531 | 2020-06-04 |
| 1285287698 | Veronica Lynn Walker | Nurse Practitioner | 180-b Debuys Road, Biloxi, MS 39531 | 2019-07-24 |
| 1982264875 | Brittany Paitsel | Dietitian, Registered | 19289 Saint Joseph Street, Suite C, Biloxi, MS 39531 | 2019-06-13 |
| 1144792425 | Traditions Hospice of Biloxi, LLC | Hospice Care, Community Based | 243 Beauvoir Road, Suite B, Biloxi, MS 39531 | 2018-12-26 |
| 1790275956 | Gulf Coast Wellness Center Inc | Physical Medicine & Rehabilitation | 2318 Pass Rd Ste 7c, Biloxi, MS 39531 | 2018-05-14 |
| 1861929655 | John Marc Bailey | Physician Assistant | 2781 Ct Switzer Dr Ste 402, Biloxi, MS 39531 | 2017-05-11 |
| 1134574270 | Shondra Davis | Social Worker | 400 Veteran Ave, Biloxi, MS 39531 | 2016-04-26 |
| 1063872349 | Stephanie Nix Lentz | Physician Assistant | 180b Debuys Rd Ste 203, Biloxi, MS 39531 | 2016-03-01 |
| 1093121196 | Gulf Coast Outpatient Surgery Center, LLC | Clinic/Center | 2781 Ct Senior Switzer Drive, Suite 101, Biloxi, MS 39531 | 2014-07-09 |
| 1215354402 | Memorial Hospital At Gulfport | Physical Therapy Assistant | 2781 C.t. Switzer, Suite 404, Biloxi, MS 39531 | 2014-03-25 |
| Find all providers in zip 39531 | ||||
| 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 |
|---|---|---|---|---|
| 1194073528 | Lindsey Brewer | Optometrist | 1850 Popps Ferry Rd, C321, Biloxi, MS 39532-2059 | 2012-08-15 |
| 1467681130 | Newman Eye Clinic, Pa | Optometrist | 724 Jackson St, Biloxi, MS 39530-4313 | 2009-07-02 |
| 1538351101 | Edgewater Eyecare, Inc | Optometrist | 2318 Pass Rd Ste 1, Biloxi, MS 39531-4044 | 2007-08-16 |
| 1649487596 | Robert E Lee | Optometrist | 2381 Pass Rd, Biloxi, MS 39531-2237 | 2007-05-17 |
| 1306813126 | William E Malone | Optometrist | 683 Division Street, Biloxi, MS 39530 | 2006-03-01 |
| 1407835408 | Christopher Kendall Rains | Optometrist | 2318 Pass Rd, Suite 1, Biloxi, MS 39531-4044 | 2006-01-10 |
| 1952854465 | Kimberly Nicole Kwong | Optometrist | 500 Fisher Street, Keesler Afb, Biloxi, MS 39534 | 2016-08-01 |
| 1184040172 | Ashley Burns | Optometrist | 715a Division St, Biloxi, MS 39530-2209 | 2014-03-14 |
| 1417395245 | David Samuel Joseph Millay | Optometrist | 301 Fisher St, Biloxi, MS 39534-2508 | 2013-06-14 |
| 1053667758 | Jay Fuller | Optometrist | 431 Bertucci Blvd, Biloxi, MS 39531-2255 | 2012-07-31 |
| 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.