MISSISSIPPI EYE CARE OF HAZLEHURST (NPI# 1245505825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245505825 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI EYE CARE OF HAZLEHURST |
| Practice Address |
28063 Highway 28 Hazlehurst MS 39083-2240 |
| Mailing Address |
350 W Woodrow Wilson Ave Suite 3110 Jackson MS 39213-7681 |
| Practice Telephone | 6012127411 |
| Mailing Telephone | 6012127411 |
| Mailing Fax Number | 6013213979 |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2012-03-15 |
| Authorized Official Name | DR. CHRISTOPHER BULLIN (OWNER) |
| Authorized Official Telephone | 6012127411 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 783 | MS | Suppliers |
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Street Address |
28063 HIGHWAY 28 |
| City | HAZLEHURST |
| State | MS |
| Zip Code | 39083-2240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235757949 | Claiborne Brooke White | Speech-Language Pathologist | 27190 Ms-28, Hazlehurst, MS 39083 | 2020-07-09 |
| 1750898961 | Laquita L. Johnson | Pharmacist | 102 Williams Street, Hazlehurst, MS 39083 | 2018-01-09 |
| 1134633324 | Enduracare Acute Care Services LLC | Clinic/Center | 236 North Caldwell Drive, Hazelhurst, MS 39083 | 2017-11-27 |
| 1053852392 | Alvin Dale Griffin | Occupational Therapy Assistant | 27190 Ms 28, Hazlehurst, MS 39083 | 2017-03-20 |
| 1770609364 | Gerri L Hill Chance | Psychiatry & Neurology | 206 Robert Mcdaniel Drive, Hazelhurst, MS 39083 | 2007-03-22 |
| 1902976665 | Allred's Pharmacy Inc | Pharmacy | 214 West Gallatin St, Hazelhurst, MS 39083 | 2006-11-09 |
| 1891897260 | Fred J Mcdonnell | Family Medicine | 213 Caldwell Drive, Hazlehurst, MS 39083 | 2006-09-05 |
| 1770515058 | Central Mississippi Civic Improvement Association | Clinic/Center | 550 Caldwell Drive, Hazlehurst, MS 39083 | 2006-07-07 |
| 1881649168 | Isd Renal Inc | Clinic/Center | 201 N Haley St, Hazlehurst, MS 39083 | 2006-05-24 |
| 1396793188 | Hazlehurst Vision Clinic | Optometrist | 247 North Caldwell Dr., Suite B, Hazlehurst, MS 39083 | 2006-05-04 |
| Find all providers in zip 39083 | ||||
| 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 |
|---|---|---|---|---|
| 1407010937 | Hazlehurst Eye Clinic, P.C. | Optometrist | 118 Caldwell Dr, Hazlehurst, MS 39083-3023 | 2008-07-14 |
| 1982686564 | Michael Lloyd Mason | Optometrist | 25 Cross St, Hazlehurst, GA 31539-6427 | 2005-11-18 |
| 1063852754 | Jason Kyle Varnadoe | Optometrist | 25 Cross St, Hazlehurst, GA 31539-6427 | 2013-06-27 |
| 1407029465 | Southern Eyecare, P.C. | Optometrist | 25 Cross St, Hazlehurst, GA 31539-6427 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1497371306 | Premier Eye Care, Pllc | Optometrist | 940 W Commerce St, Aberdeen, MS 39730-2337 | 2020-06-17 |
| 1902430937 | Dr Elizabeth M Darby Optometrist Pllc | Optometrist | 504 Easel St, Taylor, MS 38673 | 2020-02-28 |
| 1699320929 | Channing F Bucklew | Optometrist | 3090 N Church Ave, Louisville, MS 39339-6349 | 2019-08-05 |
| 1083266498 | Royce Vandiver Miles Jr. | Optometrist | 521 Deerfield Dr, Forest, MS 39074-6006 | 2019-07-15 |
| 1952965022 | Byhalia Vision Center LLC | Optometrist | 8250 Hwy 178 West, Byhalia, MS 38611-6776 | 2019-04-24 |
| 1770044497 | Tri County Eye Clinic, Pllc | Optometrist | 3430 Bienville Boulevard, Ocean Springs, MS 39564-5732 | 2019-03-26 |
| 1508351628 | Hilarie Nixon Holt | Optometrist | 301 Northlake Ave Ste 101, Ridgeland, MS 39157-1720 | 2018-06-30 |
| 1770097883 | Keeping Focus LLC. | Optometrist | 4223 I-20 Frontage Rd Apt J18, Vicksburg, MS 39183-3533 | 2017-11-28 |
| 1386168730 | Nettie Hines | Optometrist | 1006 Treetops Blvd Ste 105, Flowood, MS 39232-7645 | 2017-07-27 |
| Find all providers with the same taxonomy | ||||
| City | HAZLEHURST |
| Zip Code | 39083 |
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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.