KEVIN GRAFTON CLARK (NPI# 1912947144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912947144 |
| Entity Type | Individual |
| Full Name | KEVIN GRAFTON CLARK |
| Credential | O.D., P.A. |
| Practice Address |
5310 Highway 25 Suite 5 Flowood MS 39232-6148 |
| Practice Telephone | 6019190040 |
| Practice Fax Number | 6019190083 |
| Mailing Telephone | 6019190040 |
| Mailing Fax Number | 6019190083 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-06-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 498 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 00087918 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294001 | Kevin John Clark | Chiropractor | 2815 83rd St, Darien, IL 60561-1660 | 2017-06-08 |
| 1124402516 | Kevin Michael Clark | Dentist | 8 Inwood Peak, San Antonio, TX 78248-1654 | 2015-07-15 |
| 1275976276 | Kevin P Clark | Pharmacist | 215 Sixth Street, Hotchkiss, CO 81419-0928 | 2013-04-10 |
| 1265736508 | Kevin Clark | Acupuncturist | 415 Route 34, Suite 210, Colts Neck, NJ 07722-2522 | 2010-12-30 |
| 1033361381 | Kevin Dewitt Clark | Acupuncturist | 130 N Dixie Hwy, Hollywood, FL 33020-6704 | 2008-10-17 |
| 1891859278 | Kevin Landis Clark | Optometrist | 10415 Gateway Blvd W, El Paso, TX 79925-7905 | 2006-12-20 |
| 1609934397 | Kevin John Clark | Counselor | 251 E 5th St, Brooklyn, NY 11218-2403 | 2006-12-05 |
| 1235127291 | Kevin N Clark | Surgery | 425 Medical Dr, Ste 101, Bountiful, UT 84010-4945 | 2005-10-12 |
| 1497376958 | Kevin P. Clark Sr. | Social Worker | 30 Harriman Dr, Goshen, NY 10924-2410 | 2020-05-06 |
| 1245851104 | Kevin Clark | Counselor | 3929 Old Lee Hwy Ste 92c, Fairfax, VA 22030-2421 | 2020-05-01 |
| Street Address |
5310 HIGHWAY 25 SUITE 5 |
| City | FLOWOOD |
| State | MS |
| Zip Code | 39232-6148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164071775 | Leanna Nicole Howard | Social Worker | 2945 Layfair Drive, Apt. 1621, Flowood, MS 39232 | 2019-09-06 |
| 1104395565 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 4800 Lakeland Drive, Flowood, MS 39232 | 2018-11-15 |
| 1285101816 | Magnolia Anesthesia Consultants LLC | Anesthesiology | 4209 Lakeland Dr #252, Flowood, MS 39232 | 2018-11-01 |
| 1528543592 | Matthew T Armstrong | Physical Therapist | 104 Burney Drive, Flowood, MS 39232 | 2018-09-26 |
| 1790265627 | Mississippi Brain and Spine, Pllc | Non-Pharmacy Dispensing Site | 1 Layfair Drive, Ste 120, Flowood, MS 39232 | 2018-08-20 |
| 1629574918 | Billy Clifton Osbon Jr. | Pharmacist | 2506 Lakeland Drive, Suite 201, Flowood, MS 39232 | 2018-04-04 |
| 1356851752 | Oakdale Family Dentistry | Clinic/Center | 2139 Hwy 471, Flowood, MS 39232 | 2017-10-11 |
| 1992227177 | Charisma T. Cummings | Nurse Practitioner | 102 Riverview Drive, Suite A, Flowood, MS 39232 | 2017-07-10 |
| 1508398983 | Charles Pearson | Student in an Organized Health Care Education/Training Program | 764 Flowood Dr, Flowood, MS 39232 | 2017-04-03 |
| 1396288197 | Mary Claire Ponder | Nurse Practitioner | 151 E Metro Dr Ste 103, Flowood, MS 39232 | 2016-11-28 |
| Find all providers in zip 39232 | ||||
| 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 |
|---|---|---|---|---|
| 1386168730 | Nettie Hines | Optometrist | 1006 Treetops Blvd Ste 105, Flowood, MS 39232-7645 | 2017-07-27 |
| 1306010897 | Tina Sorey Doctor of Optometry, Pa | Optometrist | 117 Luckney Station, Flowood, MS 39232-8027 | 2008-04-16 |
| 1467551549 | Mark H Allen | Optometrist | 4810 Lakeland Dr, Flowood, MS 39232-8694 | 2006-09-22 |
| 1548289010 | Charles Edwin Mcmasters | Optometrist | 120 Promenade Blvd, Flowood, MS 39232-8017 | 2006-07-18 |
| 1649824434 | Southern Eye Care of Flowood, Pa | Optometrist | 120 Promenade Blvd, Flowood, MS 39232-8017 | 2019-07-30 |
| 1497213383 | Nettie Hines, Od | Optometrist | 1006 Treetops Blvd Ste 105, Flowood, MS 39232-7645 | 2019-03-09 |
| 1114467172 | Bomee Kim | Optometrist | 1053 River Oaks Dr, Flowood, MS 39232-9595 | 2017-02-24 |
| 1861801631 | John Brandon Dawson IIi | Optometrist | 4810 Lakeland Dr, Flowood, MS 39232-8694 | 2014-08-06 |
| 1407118474 | Charles E Mcmasters Inc | Optometrist | 120 Promenade Blvd, Flowood, MS 39232-8017 | 2012-06-14 |
| 1699843763 | Jeffrey C Minor | Optometrist | 5 River Bend Pl, Suite B, Flowood, MS 39232-7618 | 2006-11-30 |
| Find all providers in FLOWOOD | ||||
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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.