HERITAGE VISION CENTER INC (NPI# 1447383021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447383021 |
| Entity Type | Organization |
| Organization Name | HERITAGE VISION CENTER INC |
| Practice Address |
6096 U S Highway 98 Ste. 1 Hattiesburg MS 39402-8885 |
| Practice Telephone | 6012641701 |
| Practice Fax Number | 6012689109 |
| Mailing Telephone | 6012641701 |
| Mailing Fax Number | 6012689109 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2013-03-07 |
| Authorized Official Name | MR. KEVIN HARRISON (OWNER) |
| Authorized Official Telephone | 6012641701 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 156FC0800X |
Technician/Technologist Specialization: Contact Lens |
Eye and Vision Services Providers | ||
| N | 156FC0801X |
Technician/Technologist Specialization: Contact Lens Fitter |
Eye and Vision Services Providers | ||
| N | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers | ||
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00880044 | 05 |
| Street Address |
6096 U S HIGHWAY 98 STE. 1 |
| City | HATTIESBURG |
| State | MS |
| Zip Code | 39402-8885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487915831 | Ronald Mozingo, Od, LLC | Optometrist | 6096 U S Highway 98, Suite 1-a, Hattiesburg, MS 39402-8885 | 2012-06-01 |
| 1982725149 | Kevin Harrison | Technician/Technologist | 6096 U S Highway 98, Ste. 1, Hattiesburg, MS 39402-8885 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518572965 | Resilient Therapy and Solutions, Pllc | Clinic/Center | 5266 Old Hwy 11 Ste 50, #308, Hattiesburg, MS 39402 | 2020-09-12 |
| 1932710225 | Jones County Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 6424 Hwy 98 West, Suite 20, Hattiesburg, MS 39402 | 2020-08-11 |
| 1467086736 | Elizabeth A. Perry | Technician | 1220 Marrie St, Hattiesburg, MS 39402 | 2020-02-26 |
| 1225678063 | Connor Gregory Galloway | Physical Therapist | 3688 Veteran Memorial Drive, Hattiesburg, MS 39402 | 2020-01-09 |
| 1487291456 | Megan Marie Smith | Social Worker | 11 Woodstone Plaza, Hattiesburg, MS 39402 | 2019-12-09 |
| 1821656612 | Julie Covington Mcmahan | Dentist | 100 Madison Plaza, Hattiesburg, MS 39402 | 2019-06-05 |
| 1295392074 | Hattiesburg Clinic, Pa | Preventive Medicine | 6414 Highway 98, Suite 120, Hattiesburg, MS 39402 | 2019-05-28 |
| 1760945356 | Rachandeep Chahal | Student in an Organized Health Care Education/Training Program | 5001 Hardy Street Merit Health Wesley, Hattiesburg, MS 39402 | 2019-04-10 |
| 1386101137 | Courtney L Smith | Behavior Technician | 32 Millbanch Road, Suite 40, Hattiesburg, MS 39402 | 2019-02-28 |
| 1891269940 | Amanda Laine Mcarthur-macisaac | Registered Nurse | 5909 Highway 49 South, Suite 30, Hattiesburg, MS 39402 | 2019-01-11 |
| Find all providers in zip 39402 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760746812 | Sams East Inc | Technician/Technologist | 6080 U S Highway 98, Hattiesburg, MS 39402-8854 | 2012-07-03 |
| 1982725149 | Kevin Harrison | Technician/Technologist | 6096 U S Highway 98, Ste. 1, Hattiesburg, MS 39402-8885 | 2007-04-03 |
| 1992884944 | Wal-mart Stores East, Lp | Technician/Technologist | 6072 U S Highway 98, Hattiesburg, MS 39402-8854 | 2006-11-02 |
| 1639252554 | Wal-mart Stores East, Lp | Technician/Technologist | 5901 U S Highway 49, Hattiesburg, MS 39402-2858 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790289510 | Shana Thedford | Technician/Technologist | 3220 Lauderdale Rd, Lauderdale, MS 39335-9639 | 2018-03-19 |
| 1003354580 | Wal-mart Stores East, Lp | Technician/Technologist | 2129 Grand Ave, Yazoo City, MS 39194 | 2017-02-06 |
| 1427505742 | National Vision, Inc. | Technician/Technologist | Bldg 160 Simler Blvd, Columbus, MS 39705 | 2016-09-02 |
| 1184098733 | Wal-mart Stores East, Lp | Technician/Technologist | 4150 Goodman Road West, Horn Lake, MS 38637 | 2015-11-19 |
| 1659612836 | Harold Bernard Brewer Jr. | Technician/Technologist | 1171 Johns Mayton Rd, Brandon, MS 39042-8364 | 2013-03-12 |
| 1770822454 | Gemetric Tammorius Thomas | Technician/Technologist | 9125 Millbranch, Southaven, MS 38671-1421 | 2013-01-31 |
| 1427337492 | Clear View Vision Care | Technician/Technologist | 4612 Medgar Evers Blvd ., Suite 9, Jackson, MS 39213 | 2011-08-09 |
| 1548585763 | Optical Center | Technician/Technologist | 506 Larcher Blvd Bldg 2306, Keesler Afb, MS 39534-2342 | 2010-03-30 |
| 1841513348 | Marc Mclendon | Technician/Technologist | 75 Kirk Ave, Grenada, MS 38901-2839 | 2010-03-11 |
| 1528236973 | Patricia Hammons | Technician/Technologist | 661 Duling Ave, Jackson, MS 39216-4008 | 2008-02-19 |
| Find all providers with the same taxonomy | ||||
| City | HATTIESBURG |
| Zip Code | 39402 |
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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.