CHARLESTON VISION CENTER PA (NPI# 1932440138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932440138 |
| Entity Type | Organization |
| Organization Name | CHARLESTON VISION CENTER PA |
| Practice Address |
426 E Main St Charleston MS 38921-2413 |
| Mailing Address |
1890 Goodman Rd E Suite 100 Southaven MS 38671-9504 |
| Practice Telephone | 6626478707 |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | RACHAEL SUSONG (OFFICE MANAGER) |
| Authorized Official Telephone | 6627725882 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | 722 | MS | Eye and Vision Services Providers |
| Y | 152W00000X | Optometrist | MS | Eye and Vision Services Providers |
| Street Address |
426 E MAIN ST |
| City | CHARLESTON |
| State | MS |
| Zip Code | 38921-2413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891977393 | David V Obrien | Optometrist | 426 E Main St, Charleston, MS 38921-2413 | 2007-11-27 |
| 1528249497 | Obrien Eye Care | Optometrist | 426 E Main St, Charleston, MS 38921-2413 | 2007-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538717459 | Square Drugs, LLC | Pharmacy | 126 Court Square, Charleston, MS 38921 | 2019-09-04 |
| 1588015341 | Kyle Wiggins | Dentist | 203 South Market St, Charleston, MS 38921 | 2016-06-23 |
| 1659555761 | Tallahatchie General Hospital and Extended Care Facility | Nursing Facility/Intermediate Care Facility | 201 South Market Street, Charleston, MS 38921 | 2007-12-26 |
| 1316152010 | Wolfe Family Medical Clinic Pllc | Clinic/Center | 203 E Walnut St, Charleston, MS 38921 | 2007-05-14 |
| 1962617530 | East Tallahatchie Schools | Registered Nurse | 35 Oak Grove Road, Charleston, MS 38921 | 2007-05-14 |
| 1518052661 | Carlene Maynor Wolfe | Nurse Practitioner | 204 East Walnut Street, Charleston, MS 38921 | 2006-10-04 |
| 1003921172 | James Oscar Wilde Jr. | Family Medicine | 201 S. Market St., Charleston, MS 38921 | 2006-08-20 |
| 1851919658 | Delta Med South, Inc. | Durable Medical Equipment & Medical Supplies | 7 Court Sq, Charleston, MS 38921 | 2020-07-08 |
| 1932616950 | Sharon Bradley | Homemaker | 29 Nell St, Charleston, MS 38921-1424 | 2017-12-30 |
| 1649595505 | Lasuna M Curry | Counselor | 17 N Market St, Charleston, MS 38921-1524 | 2010-04-05 |
| Find all providers in zip 38921 | ||||
| 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 |
|---|---|---|---|---|
| 1083248785 | National Vision Inc | Optometrist | 2031 Sam Rittenberg Blvd Ste 101, Charleston, SC 29407-4681 | 2020-03-03 |
| 1679046569 | Eye Care Associates of Sc | Optometrist | 8484 Dorchester Rd Ste B3, Charleston, SC 29420-7319 | 2019-01-03 |
| 1740612506 | Megan Marie Sexton | Optometrist | 1470 Tobias Gadson Blvd Ste 115, Charleston, SC 29407-4835 | 2013-08-05 |
| 1760722482 | Lowcountry Vision Care, LLC | Optometrist | 91 Broad St, Charleston, SC 29401-2272 | 2013-02-16 |
| 1922271774 | See Inc | Optometrist | 355 King St, Charleston, SC 29401-1438 | 2008-04-11 |
| 1841481769 | Steven James Hosman | Optometrist | 1301 Lee St East, Charleston, WV 25301 | 2007-08-06 |
| 1346442571 | Donald Paul Cohen | Optometrist | 924 Quarrier St, Charleston, WV 25301-2619 | 2007-06-01 |
| 1053537068 | Coastal Eye Care of Charleston, LLC | Optometrist | 1606 Harbor View Rd, Charleston, SC 29412-3216 | 2007-04-18 |
| 1760500524 | Coastal Eye Care of Daniel Island | Optometrist | 225 Seven Farms Drive, 105, Charleston, SC 29492 | 2007-03-27 |
| 1790809226 | Gregory S Moore Od PC | Optometrist | 2335 Chesterfield Ave Ste 303, Charleston, WV 25304-1066 | 2007-03-19 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 38921 |
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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.