WELLS VISION LLC (NPI# 1164920484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164920484 |
| Entity Type | Organization |
| Organization Name | WELLS VISION LLC |
| Practice Address |
960 Brookway Blvd Brookhaven MS 39601-2644 |
| Mailing Address |
1390 Moses Rd Raymond MS 39154-8943 |
| Practice Telephone | 6018234494 |
| Mailing Telephone | 6019465492 |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2018-02-01 |
| Authorized Official Name | DR. CHANNING WELLS (OPTOMETRIST) |
| Authorized Official Telephone | 6019465492 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 916 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 04802528 | 05 |
| Street Address |
960 BROOKWAY BLVD |
| City | BROOKHAVEN |
| State | MS |
| Zip Code | 39601-2644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518984913 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 960 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-07-16 |
| 1427180553 | Sheryl Watson Lee | Optometrist | 960 Brookway Blvd, Brookhaven, MS 39601-2644 | 2007-03-12 |
| 1144308388 | Wal-mart Stores East, Lp | Technician/Technologist | 960 Brookway Blvd, Brookhaven, MS 39601-2644 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093329633 | Mary Lindsey Lumley | Nurse Practitioner | 620 Hwy 51, Brookhaven, MS 39601 | 2020-09-01 |
| 1306371687 | Rocky Mountain Holdings, LLC | Ambulance | 411 Highway 51 N, Brookhaven, MS 39601 | 2017-04-25 |
| 1043759269 | Candace C Turner | Counselor | 860 E River Pl Suite 100, Jackson, MS 39601 | 2017-02-21 |
| 1619419694 | Therapy Nook PC | Speech-Language Pathologist | 520 Schwem Avenue, Brookhaven, MS 39601 | 2016-11-08 |
| 1851742639 | Melanie Smith | Specialist/Technologist | 325 Low Water Lane, Brookhaven, MS 39601 | 2016-06-23 |
| 1134597107 | Passionate Care Home Health,llc | Home Health | 537 St Charles Places, Brookhaven, MS 39601 | 2015-09-09 |
| 1205218690 | Nurse Practitioner Professionals, Pllc | Clinic/Center | 427 Highway 51 Se, Kings Daughters Medical Center-wound Healing Center, Brookhaven, MS 39601 | 2015-06-23 |
| 1043639289 | Joseph S Moak Jr Md Pa | Internal Medicine | 1040 Biglane Drive, Brookhaven, MS 39601 | 2014-04-15 |
| 1902239197 | Melanie Hammill Bishop | Pharmacist | 427 Ms Highway 51 North, Brookhaven, MS 39601 | 2013-08-12 |
| 1386930113 | Hospice Advantage, LLC. | Hospice Care, Community Based | 120 W Cherokee St, Brookhaven, MS 39601 | 2011-06-20 |
| Find all providers in zip 39601 | ||||
| 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 |
|---|---|---|---|---|
| 1215441357 | Envision Optics LLC | Optometrist | 3360 Buford Hwy Ne, Brookhaven, GA 30329-1710 | 2017-11-28 |
| 1962955153 | Brookleigh Family Eyecare, Inc | Optometrist | 3575 Durden Dr Ne, Suite 303, Brookhaven, GA 30319-2253 | 2016-07-25 |
| 1871971861 | Eyedeal Vision Group LLC | Optometrist | 1922 Johnson Ferry Rd Ne, Unit E, Brookhaven, GA 30319-5003 | 2015-05-11 |
| 1801122114 | Oladipo O Itabiyi | Optometrist | 1234 Harshaw Rd, Brookhaven, PA 19015-1908 | 2009-10-20 |
| 1699921023 | Tressie Hall | Optometrist | 301 Highway 51 S, Suite B, Brookhaven, MS 39601-3247 | 2008-08-18 |
| 1174714133 | Chad P Smith | Optometrist | 211 N Whitworth Ave, Brookhaven, MS 39601-3051 | 2007-08-06 |
| 1033243902 | Alan Hymowitz | Optometrist | 1418 Dresden Dr Ne Ste 150, Brookhaven, GA 30319-7002 | 2007-03-15 |
| 1720141757 | Gayle Kornman | Optometrist | 1418 Dresden Dr Ne, Brookhaven, GA 30319-3598 | 2006-12-19 |
| 1952497679 | Mark P Smith | Optometrist | 211 North Whitworth Ave, Brookhaven, MS 39601 | 2006-10-04 |
| 1861507873 | Hanh M. Nguyen O.d., P.C. | Optometrist | 1200 Lake Hearn Dr Ne Ste 150, Brookhaven, GA 30319-1445 | 2006-08-20 |
| Find all providers in BROOKHAVEN | ||||
| City | BROOKHAVEN |
| Zip Code | 39601 |
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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.