DR. TRACY B PHILLIPS (NPI# 1508013293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508013293 |
| Entity Type | Individual |
| Full Name | DR. TRACY B PHILLIPS |
| Credential | O.D. |
| Practice Address |
1733 2nd St S Meridian MS 39301-4514 |
| Mailing Address |
106 Macy Dr Philadelphia MS 39350-3792 |
| Practice Telephone | 6016930176 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2010-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 799 | MS | Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629245998 | Tracy Lynn Phillips | Licensed Practical Nurse | 5620 W Birch Harbor Dr, Wasilla, AK 99654-9430 | 2008-05-14 |
| 1558464990 | Tracy T Phillips | Obstetrics & Gynecology | 2089 Vale Road, Suite 10, San Pablo, CA 94806 | 2006-09-07 |
| 1619960408 | Tracy A Phillips | Optometrist | 336 El Camino Real, San Carlos, CA 94070-2408 | 2005-08-26 |
| 1679571863 | Tracy Thomas Phillips | Family Medicine | 103 Frankie Ln, White Hall, AR 71602-2685 | 2005-07-12 |
| 1770073702 | Tracy Lanae Phillips | Counselor | 525 Estudillo Ave, San Leandro, CA 94577-4684 | 2018-05-15 |
| 1689873754 | Tracy Phillips | Counselor | 3707 Sunset Lane, Antioch, CA 94509 | 2007-07-17 |
| 1588876866 | Tracy Lee Phillips | Dentist | 8015 164th St, Jamaica, NY 11432-1116 | 2007-05-07 |
| 1578648309 | Tracy Elizabeth Phillips | Social Worker | 2795 Richmond Ave, Staten Island, NY 10314-5857 | 2006-10-27 |
| 1376527051 | Tracy B Phillips | Pediatrics | 258 Ne Tudor Rd, Lees Summit, MO 64086-5696 | 2005-12-06 |
| Street Address |
1733 2ND ST S |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-4514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639196041 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1733 2nd St S, Meridian, MS 39301-4514 | 2006-07-16 |
| 1336749191 | Donna Delynn Fries | Pharmacist | 1733 2nd St S, Meridian, MS 39301-4514 | 2020-10-29 |
| 1457951816 | Kelly Jones | Pharmacist | 1733 2nd St S, Meridian, MS 39301-4514 | 2020-10-27 |
| 1992025951 | Phillips Eye Care, Inc. | Optometrist | 1733 2nd St S, Meridian, MS 39301-4514 | 2010-06-01 |
| 1427253160 | Eyecare Express, LLC | Optometrist | 1733 2nd St S, Meridian, MS 39301-4514 | 2007-06-20 |
| 1437232550 | Wal-mart Stores East, Lp | Technician/Technologist | 1733 2nd St S, Meridian, MS 39301-4514 | 2006-10-23 |
| 1063435469 | Thi Bui | Optometrist | 1733 2nd St S, Meridian, MS 39301-4514 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1952703209 | Reservoir Eye Care Clinic Pllc | Optometrist | 536 Lindley Rd, Meridian, MS 39305-2301 | 2014-09-18 |
| 1881011526 | Meridian Eye Care, LLC | Optometrist | 5002 Highway 39 N Bldg B, Meridian, MS 39301-1078 | 2014-03-19 |
| 1073814737 | Carter Vision Care, Pllc | Optometrist | 1157 E Puffin St, Meridian, ID 83642-7444 | 2010-11-11 |
| 1265749493 | William Paul Schilling | Optometrist | 795 W Overland Rd, Meridian, ID 83642 | 2010-09-09 |
| 1376705293 | Luke A Randall | Optometrist | 1540 W Cayuse Creek Dr, Meridian, ID 83646-4795 | 2008-07-01 |
| 1578757076 | Primary Eyecare & Optical of Meridian, P.a. | Optometrist | 4721 26th Ave., Meridian, MS 39305 | 2007-08-29 |
| 1770776353 | Melissa Ann Fowler | Optometrist | 1715 S Wells Ave # 100, Meridian, ID 83642-5066 | 2007-08-27 |
| 1316013691 | The Eye Associates, P.a. | Optometrist | 2620 S Eagle Rd, Meridian, ID 83642-6704 | 2006-11-28 |
| Find all providers in MERIDIAN | ||||
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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.