SOUTHERN EYE ASSOCIATES LTD (NPI# 1669486528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669486528 |
| Entity Type | Organization |
| Organization Name | SOUTHERN EYE ASSOCIATES LTD |
| Practice Address |
601 E Matthews Ave Jonesboro AR 72401-3145 |
| Practice Telephone | 8709356396 |
| Practice Fax Number | 8709354063 |
| Mailing Telephone | 8709356396 |
| Mailing Fax Number | 8709354063 |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2015-09-02 |
| Authorized Official Name | KELLY E CHRONISTER (ADMINISTRATOR) |
| Authorized Official Telephone | 8709356396 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | MC-1284 | AR | Eye and Vision Services Providers |
| Y | 207W00000X | Ophthalmology | MC-1284 | AR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | RAILROAD MEDICARE | CT1713 | 01 |
| AR | 116840002 | 05 | |
| MO | MISSOURI MEDICAID | 503329807 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750478186 | Southern Eye Associates Ltd | Optometrist | 901 Linwood Dr, Paragould, AR 72450-4854 | 2006-10-06 |
| Street Address |
601 E MATTHEWS AVE |
| City | JONESBORO |
| State | AR |
| Zip Code | 72401-3145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972569036 | Matthew W Margolis | Ophthalmology | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-04-25 |
| 1811368327 | Jonesboro Anesthesia Services LLC | Anesthesiology | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2015-10-09 |
| 1457365108 | Roger D Baker | Optometrist | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-28 |
| 1598779209 | Thomas M Stank | Ophthalmology | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-28 |
| 1023022977 | James M Glisson | Nurse Anesthetist, Certified Registered | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-28 |
| 1740218650 | Thomas Ronald Hall | Optometrist | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-06-29 |
| 1710931134 | Novamed Surgery Center of Jonesboro, LLC | Clinic/Center | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453368 | Mariah Kay Jackson | Physical Therapy Assistant | Creative Kids Therapy, Jonesboro, AR 72401 | 2020-10-05 |
| 1821606005 | Kafayat Folake Iyanda | Specialist/Technologist | 2105 East Aggie Rd, Jonesboro, AR 72401 | 2020-07-14 |
| 1053936310 | Josh Roberts | Physical Therapist | 1010 South Main St, Jonesboro, AR 72401 | 2020-06-12 |
| 1003449687 | Amy Mary Elizabeth Daughhetee | Nurse Practitioner | 225 East Washington Ave, Jonesboro, AR 72401 | 2020-02-21 |
| 1871126698 | Sarah Lowtharp | Clinical Nurse Specialist | 225 East Washington Ave., Jonesboro, AR 72401 | 2020-02-20 |
| 1891335519 | Mallori Miller | Case Manager/Care Coordinator | 837 Willett Rd, Jonesboro, AR 72401 | 2020-01-10 |
| 1265073704 | Michael Bruce Collie | Registered Nurse | 837 Williett Road, Jonesboro, AR 72401 | 2019-10-07 |
| 1285283432 | Jonesboro Ambulatory Surgery Center, LLC | Clinic/Center | 1710 Mayfield Dr, Jonesboro, AR 72401 | 2019-09-10 |
| 1841843943 | Destinee Katrina Cole | Specialist/Technologist | 2015 Aggie Rd, Jonesboro, AR 72401 | 2019-07-18 |
| 1699250472 | Jessica Marie Mcnatt | Occupational Therapist | 907 County Road 753, Jonesboro, AR 72401 | 2018-09-27 |
| Find all providers in zip 72401 | ||||
| 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 |
|---|---|---|---|---|
| 1861428534 | Mid-south Retina Associates, LLC | Ophthalmology | 820 E Matthews Ave, Suite E, Jonesboro, AR 72401-3048 | 2006-06-24 |
| 1972569036 | Matthew W Margolis | Ophthalmology | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-04-25 |
| 1205064441 | Anjum Sharif Cheema | Ophthalmology | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2009-06-25 |
| 1003077033 | Emily King Deschler | Ophthalmology | 2400 Mt. Zion Parkway, Kruiser Permanente Southwood Medical Center, Jonesboro, GA 36236 | 2008-06-23 |
| 1487824272 | Prathima Thumma Warrier | Ophthalmology | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2008-03-07 |
| 1477744068 | Azad Mansouri | Ophthalmology | 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236 | 2007-08-07 |
| 1417098153 | Thomas L Nix | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2007-02-08 |
| 1598779209 | Thomas M Stank | Ophthalmology | 601 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-28 |
| 1215968425 | Russell Lee Harral IIi | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-05 |
| 1730110958 | Joseph Charles Stainton | Ophthalmology | 623 E Matthews Ave, Jonesboro, AR 72401-3145 | 2006-07-05 |
| Find all providers in JONESBORO | ||||
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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.