THOMAS M TANN III (NPI# 1083654578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083654578 |
| Entity Type | Individual |
| Full Name | THOMAS M TANN III |
| Credential | MD |
| Practice Address |
1308 Belk Blvd Oxford MS 38655-5302 |
| Practice Telephone | 6622346551 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-11-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 17586 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 0126146 | 05 |
| Street Address |
1308 BELK BLVD |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801834189 | Randy Herschel Russell | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2006-06-02 |
| 1962631150 | Jonathan Zoghby | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2009-07-08 |
| 1417129313 | James W Rayner | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2008-03-31 |
| 1194915249 | Blake A Booth | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2007-07-25 |
| 1154540359 | Emily Taylor Graves | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2007-04-25 |
| 1326148578 | Rayner Eye Clinic, LLC | Clinic/Center | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2006-09-25 |
| 1306957709 | Rayner Optical, LLC | Durable Medical Equipment & Medical Supplies | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2006-08-31 |
| 1902840861 | William Doty Farmer | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2006-06-15 |
| 1013951987 | Randy K Richardson | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427212992 | James Byron Shipp | Ophthalmology | 2890 S. Lamar, Oxford, MS 38655 | 2008-07-15 |
| 1053416172 | Herbert Stanley Thompson | Ophthalmology | 2096 Kestrel Rdg Sw, Oxford, IA 52322-9111 | 2006-09-13 |
| 1861402612 | Vinod Kumar Jindal | Ophthalmology | 1610 Williamsboro St, Oxford, NC 27565-5016 | 2006-08-08 |
| 1801834189 | Randy Herschel Russell | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2006-06-02 |
| 1215931738 | William Sumners Mayo | Ophthalmology | 2890 S Lamar Blvd, Oxford, MS 38655-5347 | 2005-06-13 |
| 1154877090 | Ms Eye Consultants LLC | Ophthalmology | 2890 S Lamar Blvd, Oxford, MS 38655-5347 | 2016-08-31 |
| 1962631150 | Jonathan Zoghby | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2009-07-08 |
| 1417129313 | James W Rayner | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2008-03-31 |
| 1194915249 | Blake A Booth | Ophthalmology | 1308 Belk Blvd, Oxford, MS 38655-5302 | 2007-07-25 |
| 1821291055 | Mayo Eye Center, Inc | Ophthalmology | 2890 S Lamar Blvd, Oxford, MS 38655-5347 | 2007-06-06 |
| Find all providers in OXFORD | ||||
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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.