MISSISSIPPI EYE CARE ASSOCIATES OF JACKSON, PLLC (NPI# 1366697799) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366697799 |
| Entity Type | Organization |
| Organization Name | MISSISSIPPI EYE CARE ASSOCIATES OF JACKSON, PLLC |
| Practice Address |
310 West Woodrow Wilson Avenue Suite 300 Jackson MS 39213-7662 |
| Mailing Address |
310 West Woodrow Wilson Drive Suite 300 Jackson MS 39213-7662 |
| Practice Telephone | 6013669020 |
| Practice Fax Number | 6013213979 |
| Mailing Telephone | 6013669020 |
| Mailing Fax Number | 6013213979 |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2016-12-08 |
| Authorized Official Name | DR. CHRISTOPHER TERRELL BULLIN (OWNER) |
| Authorized Official Telephone | 6013669020 |
| 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 | 783 | MS | Eye and Vision Services Providers |
| Street Address |
310 WEST WOODROW WILSON AVENUE SUITE 300 |
| City | JACKSON |
| State | MS |
| Zip Code | 39213-7662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679117980 | Cynthia Bailey | Technician | 916 Carnation Street, Jackson, MS 39213 | 2019-10-30 |
| 1871136374 | Shirley Collins Williams | Technician | 3132 Sage St, Jackson, MS 39213 | 2019-10-28 |
| 1275057069 | Nikita Patel | Pharmacist | 830 West Woodrow Wilson Avenue, Jackson, MS 39213 | 2017-08-02 |
| 1346782893 | Mississippi Smiles Dentistry LLC | Dentist | 310 W Woodrow Wilson Ave, 400, Jackson, MS 39213 | 2016-11-15 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1518410778 | Assurance Home Health Services, LLC | Health Maintenance Organization | 1771 Hamilton Blvd., Jackson, MS 39213 | 2016-07-25 |
| 1831576180 | Dorothy Jeffries Anderson | Counselor | 350 Woodrow Wilson Ave, Jackson, MS 39213 | 2015-05-06 |
| 1740697275 | Sincere Home Care LLC. | Chore Provider | 5911 Holmes Ct, Jackson, MS 39213 | 2014-07-16 |
| 1629401088 | Deborah Diane Wright | Assisted Living Facility | 5911 Holmes Court, Jackson, MS 39213 | 2013-08-20 |
| 1245663251 | Methodist Home Road Living Center | Licensed Practical Nurse | 4560 Methodist Home Road, Jackson, MS 39213 | 2013-08-13 |
| Find all providers in zip 39213 | ||||
| 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 |
|---|---|---|---|---|
| 1548884307 | Bricker B Buseth | Optometrist | 2500 Reynolds Rd, Jackson, MI 49201-9376 | 2020-06-07 |
| 1922667682 | Brittany Renee Bryant | Optometrist | 119 Stonebrook Pl Ste A, Jackson, TN 38305-3636 | 2019-06-06 |
| 1023504818 | Trent Wayne Martin | Optometrist | 1000 Vann Dr Ste A, Jackson, TN 38305-6062 | 2018-07-05 |
| 1417478835 | Mason Ross Womack | Optometrist | 810 Court St # 10, Jackson, CA 95642-2132 | 2017-07-06 |
| 1730637521 | Ms Eyecare Associates of Jackson, Pllc. | Optometrist | 310 West Woodrow Wilson Avenue Suite 300, Jackson, MS 39213 | 2016-09-21 |
| 1174923189 | Lindsay Katharine Klumpp | Optometrist | 850 W North St, Ste. 100, Jackson, MI 49202-3196 | 2014-08-27 |
| 1700200227 | Mobile Vision LLC | Optometrist | 1737 Spring Arbor Rd # 164, Jackson, MI 49203-2701 | 2014-02-05 |
| 1831430925 | First Sight LLC | Optometrist | 1316 N State St, Jackson, MS 39202-2003 | 2013-03-14 |
| 1447506381 | Morgan Allyce Strand | Optometrist | 2954 E. Jackson Blvd, Jackson, MO 63755 | 2012-07-30 |
| 1083847776 | The Center for Sight P.C. | Optometrist | 3595 Ann Arbor Rd, Jackson, MI 49202-2703 | 2009-08-27 |
| Find all providers in JACKSON | ||||
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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.