PATRICIA HAMMONS (NPI# 1467622605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467622605 |
| Entity Type | Organization |
| Organization Name | PATRICIA HAMMONS |
| Other Organization Name | CUSTOM OPTICAL |
| Practice Address |
661 Duling Ave Jackson MS 39216-4008 |
| Mailing Address |
Po Box 4311 Jackson MS 39296-4311 |
| Practice Telephone | 6013626675 |
| Practice Fax Number | 6013625767 |
| Mailing Telephone | 6013626675 |
| Mailing Fax Number | 6013625767 |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2013-08-05 |
| Authorized Official Name | MS. PATRICIA W HAMMONS (OWNER/OPTICIAN) |
| Authorized Official Telephone | 6013626675 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | Suppliers |
| Other Name | Type Code |
|---|---|
| Custom Optical | Doing Business As Name - Organization |
| Street Address |
661 DULING AVE |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528236973 | Patricia Hammons | Technician/Technologist | 661 Duling Ave, Jackson, MS 39216-4008 | 2008-02-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114398534 | Dr Mark Lynn & Associates Pllc | Eyewear Supplier (Equipment, not the service) | 1150 Vann Drive, Jackson, TN 38305-6001 | 2015-10-12 |
| 1114325164 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 6351 I 55 N, Suite 115-a, Jackson, MS 39213-9720 | 2014-12-08 |
| 1982976452 | Optical Connection Inc | Eyewear Supplier (Equipment, not the service) | 21 S Hope Chapel Rd Ste 105, Jackson, NJ 08527-5000 | 2012-01-31 |
| 1366697799 | Mississippi Eye Care Associates of Jackson, Pllc | Eyewear Supplier (Equipment, not the service) | 310 West Woodrow Wilson Avenue, Suite 300, Jackson, MS 39213-7662 | 2008-11-26 |
| 1407037252 | Vision Center At Westbank, Inc | Eyewear Supplier (Equipment, not the service) | 520 Us Hwy 89, Jackson, WY 83001 | 2007-11-21 |
| 1760683221 | Tri State Muller Optical Inc | Eyewear Supplier (Equipment, not the service) | 203 W Baltimore St, Jackson, TN 38301-6103 | 2007-05-30 |
| 1366581910 | I Care Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 160 Mctyere Ave, Jackson, MS 39202-1529 | 2007-02-06 |
| 1376689554 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1401 N W Ave, Jackson, MI 49202-2052 | 2007-01-29 |
| 1972650364 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1400 Metroctr Mall, Jackson, MS 39209-7520 | 2007-01-05 |
| 1104982347 | Luxottica Retail North America Inc | Eyewear Supplier (Equipment, not the service) | 1250 Jackson Crossing, Jackson Crossing Mall, Jackson, MI 49202-2042 | 2006-12-30 |
| 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.