CLEVELAND OPTICAL INC (NPI# 1689852519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689852519 |
| Entity Type | Organization |
| Organization Name | CLEVELAND OPTICAL INC |
| Practice Address |
802 1st St Cleveland MS 38732-2310 |
| Mailing Address |
Po Box 1170 Cleveland MS 38732-1170 |
| Practice Telephone | 6628435328 |
| Mailing Telephone | 6628435328 |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-03-14 |
| Authorized Official Name | JAMES H BOGGS (OWNER) |
| Authorized Official Telephone | 6628435328 |
| Authorized Official Credential | OPTICIAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1800X |
Technician/Technologist Specialization: Optician |
MS | Eye and Vision Services Providers |
| Street Address |
802 1ST ST |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871677435 | Jim Harold Boggs | Technician/Technologist | 802 1st St, Cleveland, MS 38732-2310 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023629219 | Marilynn Pruitt | Technician | 108 Belvedere Court, Cleveland, MS 38732 | 2020-08-12 |
| 1417322587 | United Family Life Center | Clinic/Center | 1101 S Martin Luther King Drive, Cleveland, MS 38732 | 2015-12-01 |
| 1346661584 | Rebecca Winters | Speech-Language Pathologist | 4036 Hwy 8 East, Cleveland, MS 38732 | 2013-12-13 |
| 1982973186 | Delta Home Health Inc | Home Health | 300-b South Street, Cleveland, MS 38732 | 2011-12-19 |
| 1730467382 | Reid Farmer Davis Medico | Clinic/Center | 4080 Highway 8 West, Cleveland, MS 38732 | 2011-08-01 |
| 1700181427 | Sondra Speakes Huerta | Speech-Language Pathologist | 3939 Hwy 61 N. Suite 110, Cleveland, MS 38732 | 2011-01-12 |
| 1386956027 | Delta Soul Medical, LLC | Hospice Care, Community Based | 102 N. Pearman Ave., Ste. 1, Cleveland, MS 38732 | 2010-07-10 |
| 1700029675 | Jlrl, LLC | Dentist | 716 First Street, Cleveland, MS 38732 | 2009-04-08 |
| 1417194978 | Bolivar Emergency Group LLC | Physician Assistant | 901 Hwy 8 East Sunflower Rd, Cleveland, MS 38732 | 2009-01-20 |
| 1902055767 | Word of Deliverance Adult Day Care | Custodial Care Facility | 509 Davis Avenue, Cleveland, MS 38732 | 2008-09-16 |
| Find all providers in zip 38732 | ||||
| Taxonomy Code | 156FX1800X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Optician |
| Definition to come... |
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| 1063713980 | America's Best Contacts & Eyeglasses | Technician/Technologist | 3061 Westgate, Cleveland, OH 44126-1308 | 2010-11-09 |
| 1164686267 | North Park Optical | Technician/Technologist | 20670 N Park Blvd, Cleveland, OH 44118-4519 | 2008-07-17 |
| 1679690929 | William A. Berris | Technician/Technologist | 2183 S Green Rd, Cleveland, OH 44121-3313 | 2007-03-23 |
| 1215052493 | Jeffery Lee Leonard | Technician/Technologist | 2733 Keith St., Cleveland, TN 37311 | 2007-03-20 |
| 1346384351 | Aaron L Wilson | Technician/Technologist | 913 Keith St Nw, Cleveland, TN 37311-1804 | 2007-02-16 |
| 1932247996 | Jerold Optical Inc. | Technician/Technologist | 800 Huron Rd E, Cleveland, OH 44115-1121 | 2007-02-02 |
| 1194825893 | Sam's Club Optical | Technician/Technologist | 10250 Brookpark Road, Cleveland, OH 44130-1106 | 2006-09-22 |
| 1326089962 | Alicia D Ford | Technician/Technologist | 10128 Saint Clair Ave, Cleveland, OH 44108-1963 | 2006-06-08 |
| Find all providers in CLEVELAND | ||||
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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.