KYLE LEWIS (NPI# 1902017924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902017924 |
| Entity Type | Individual |
| Full Name | KYLE LEWIS |
| Credential | M. D. |
| Practice Address |
2500 N State St Dept. of Ophthalmology Jackson MS 39216-4500 |
| Mailing Address |
2500 North State Street Jmm Room 2525 Jackson MS 39216-4500 |
| Practice Telephone | 6019845020 |
| Practice Fax Number | 6018153773 |
| Mailing Telephone | 6019846426 |
| Mailing Fax Number | 6019846439 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207WX0200X |
Ophthalmology Specialization: Ophthalmic Plastic and Reconstructive Surgery |
20538 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | PTAN | 302I188328 | 01 |
| MS | 01823221 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740838887 | Kyle Edward Lewis | Physical Therapist | 814 S Perry St Ste D, Castle Rock, CO 80104-1942 | 2019-09-02 |
| 1306491535 | Kyle Lewis | Chiropractor | 1395 N Military Trl, West Palm Beach, FL 33409-6016 | 2019-08-05 |
| 1457812232 | Kyle Lewis | Podiatrist | 374 Stockholm St, Brooklyn, NY 11237-4006 | 2019-03-26 |
| 1538672514 | Kyle Lewis | Social Worker | 450 Humboldt St, Rochester, NY 14610-1114 | 2017-11-13 |
| 1134664188 | Kyle Lewis | Counselor | 127 E Lexington Ave, El Cajon, CA 92020-4511 | 2016-12-29 |
| 1013307826 | Kyle Lewis | Chiropractor | 591 N Shore Dr, Forest Lake, MN 55025-1217 | 2015-02-01 |
| 1457741688 | Kyle Lewis | Physician Assistant | 11216 Sunrise Blvd E, Ste 3-207, Puyallup, WA 98374-8848 | 2015-01-26 |
| 1871911610 | Kyle Lewis | Emergency Medicine | 1800 East Park Ave, State College, PA 16803-1501 | 2014-03-30 |
| 1295099174 | Kyle Micheal Lewis | Radiology | 25 Michigan St Ne, Suite 2200, Grand Rapids, MI 49503-2515 | 2012-06-26 |
| 1124173109 | Kyle Randolph Lewis | Rehabilitation Practitioner | 1605 Eastlake Ave, Los Angeles, CA 90033-1009 | 2007-01-23 |
| Street Address |
2500 N STATE ST DEPT. OF OPHTHALMOLOGY |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207WX0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Ophthalmic Plastic and Reconstructive Surgery |
| A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. |
| Notes: Source: American Academy of Ophthalmology, 2015. www.aao.org [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225657455 | Restore Oculoplastics Gulf Coast | Ophthalmology | 10051 Lorraine Rd Ste A-2, Gulfport, MS 39503-6001 | 2020-04-08 |
| 1710502661 | Laurel Plastic Surgery LLC | Ophthalmology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2020-06-16 |
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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.