CLEVELAND EYE CLINIC PA (NPI# 1962571380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962571380 |
| Entity Type | Organization |
| Organization Name | CLEVELAND EYE CLINIC PA |
| Practice Address |
136 North Street Cleveland MS 38732 |
| Mailing Address |
Po Box 1108 Cleveland MS 38732 |
| Practice Telephone | 6628466641 |
| Practice Fax Number | 6628466644 |
| Mailing Telephone | 6628466641 |
| Mailing Fax Number | 6628466644 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2008-03-18 |
| Authorized Official Name | DR. EMMETT DONALD SMITH (PRESIDENT) |
| Authorized Official Telephone | 6628466641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 546 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09957099 | 05 |
| Street Address |
136 NORTH STREET |
| City | CLEVELAND |
| State | MS |
| Zip Code | 38732 |
| 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 | 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 |
|---|---|---|---|---|
| 1942815832 | National Vision Inc | Optometrist | 210 Paul Huff Pkwy Nw Unit 100, Cleveland, TN 37312-2954 | 2020-09-09 |
| 1700418589 | National Vision Inc | Optometrist | 3497 Steelyard Dr, Cleveland, OH 44109-2385 | 2020-02-10 |
| 1508387283 | Jeffrey Lawrence Rais | Optometrist | 13943 Cedar Rd, Cleveland, OH 44118-3203 | 2017-07-03 |
| 1407383334 | I Care Eyecare LLC | Optometrist | 5546 Keith St. Ne, Walmart Vision Center, Cleveland, TN 37312 | 2017-05-23 |
| 1851749667 | Clarissa Prieto-ayala | Optometrist | 11670 Pinemont Rd, Cleveland, TX 77328-7237 | 2016-06-02 |
| 1467738377 | Dr. Don Robbins Inc. | Optometrist | 514 West Kytle St., Cleveland, GA 30528 | 2011-10-25 |
| 1366757015 | Joseph Keaney | Optometrist | 6204 Brookpark Rd, Cleveland, OH 44129-1218 | 2010-08-18 |
| 1508185729 | Gs Eyecare Inc | Optometrist | 897 S Main St, Cleveland, GA 30528-1458 | 2010-05-27 |
| 1124258991 | Jennifer Pesek | Optometrist | 200 Public Sq Ste 219, Cleveland, OH 44114-2301 | 2009-07-15 |
| 1750533659 | Cleveland Eye Care, Pllc | Optometrist | 3463 Willow Oak Cir Nw, Cleveland, TN 37312-1749 | 2008-10-22 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on CLEVELAND EYE CLINIC PA.
| 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.