SOUTH CENTRAL CLINICS, INC. (NPI# 1568004893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568004893 |
| Entity Type | Organization |
| Organization Name | SOUTH CENTRAL CLINICS, INC. |
| Practice Address |
1020 Adams St Laurel MS 39440-4365 |
| Mailing Address |
Po Box 247 Laurel MS 39441-0247 |
| Practice Telephone | 6014269454 |
| Practice Fax Number | 6013996184 |
| Mailing Telephone | 6013996367 |
| Mailing Fax Number | 6013996184 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Authorized Official Name | MONICA MORROW (DIRECTOR) |
| Authorized Official Telephone | 6013996167 |
| Is Organization Subpart | Y |
| Parent Organization Name | SOUTH CENTRAL CLINICS, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| South Central Eye and Laser Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619346863 | South Central Clinics, Inc. | Physiological Laboratory | 1440 Jefferson St, Suite B, Laurel, MS 39440-4243 | 2015-09-17 |
| 1649681693 | South Central Clinics, Inc. | Preventive Medicine | 5 Dunnbarr, Suite 1, Laurel, MS 39440-1041 | 2014-05-13 |
| 1528498532 | South Central Clinics, Inc. | Obstetrics & Gynecology | 1203 Avenue B, Suite 300, Ellisville, MS 39437-2080 | 2013-11-13 |
| 1942240510 | South Central Clinics, Inc. | Obstetrics & Gynecology | 1002 Jefferson Street, Suite 250, Laurel, MS 39440-4306 | 2006-06-08 |
| 1427098003 | South Central Clinics, Inc. | Clinic/Center | 1203 Ave B, Suite 200, Ellisville, MS 39437 | 2006-06-08 |
| Street Address |
1020 ADAMS ST |
| City | LAUREL |
| State | MS |
| Zip Code | 39440-4365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225142458 | Eric Everett Lindstrom | Ophthalmology | 1020 Adams St, Laurel, MS 39440-4365 | 2006-08-17 |
| 1194144386 | Sarah Duhon Queck | Ophthalmology | 1020 Adams St, Laurel, MS 39440 | 2014-04-15 |
| 1780724583 | Lindstrom Eye & Laser Center, P.a. | Ophthalmology | 1020 Adams St, Laurel, MS 39440-4365 | 2007-02-08 |
| 1457466690 | Judith Lynn Bradley | Ophthalmology | 1020 Adams St, Laurel, MS 39440-4365 | 2006-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306323159 | Tender Loving Care Homecare LLC | Homemaker | 509 Central Ave Ste 224, Laurel, MS 39440 | 2018-07-24 |
| 1669837910 | Laurel Dental Properties | Dentist | 1925 Pine Belt Drive, Laurel, MS 39440 | 2015-12-30 |
| 1215282991 | South Central Regional Medical Center | Clinic/Center | 525 Wayne Drive, Laurel, MS 39440 | 2012-07-18 |
| 1568721215 | Terry Ratcliff Perkins | Counselor | 5192 Hwy 11 North, Laurel, MS 39440 | 2012-05-15 |
| 1437453057 | Alexander Milne Home for Women | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 616 East 19th Street, Laurel, MS 39440 | 2010-12-23 |
| 1710135629 | Jeffrey R. Moffett | Nurse Practitioner | 3115 Audubon Dr, Laurel, MS 39440 | 2008-09-04 |
| 1003096785 | Family Health Center, Inc | Obstetrics & Gynecology | 103 S. 12th Avenue, Laurel, MS 39440 | 2007-11-09 |
| 1669672143 | Laurel Urology Clinic Pa | Urology | 304 S 10th Ave, Laurel, MS 39440 | 2007-07-23 |
| 1093912370 | Tanweer Hussain Majid | Surgery | 1007 Jefferson Street, Laurel, MS 39440 | 2007-06-29 |
| 1780889923 | Hattiesburg Eye Clinic, Pa | Ophthalmology | 1431 North 10th St, Suite 1, Laurel, MS 39440 | 2007-06-18 |
| Find all providers in zip 39440 | ||||
| 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 |
|---|---|---|---|---|
| 1972900058 | Myeyedr Optometry of Maryland, LLC | Optometrist | 14700 Baltimore Ave Unit 109, Laurel, MD 20707-4878 | 2014-12-04 |
| 1770899288 | Galvan & Crawford Enterprise | Optometrist | 3450 Laurel Fort Meade Rd, Suite 112, Laurel, MD 20724-2040 | 2010-08-20 |
| 1174771646 | Victoria Harmony Grinstead | Optometrist | 14811 Baltimore Ave, Laurel, MD 20707-4817 | 2008-09-08 |
| 1760696751 | Sterling Optical | Optometrist | 3423 Fort Meade Rd Sterling Optical, Laurel, MD 20724 | 2007-05-09 |
| 1477683258 | Tahani I. Hamideh | Optometrist | 14726 Baltimore Ave, 14728, Laurel, MD 20707-4816 | 2007-03-07 |
| 1710037437 | Ronald Lee Benner | Optometrist | 210 1st Ave, Laurel, MT 59044-3014 | 2007-01-12 |
| 1770642977 | Barry Sapperstein | Optometrist | 1003 Fairlawn Ave, #24a, Laurel, MD 20707-4807 | 2006-12-06 |
| 1982763991 | Doiless Walker | Optometrist | 1003 Fairlawn Ave # 24a, Laurel, MD 20707-4807 | 2006-12-06 |
| 1558379206 | Edward Watts Davis | Optometrist | 1431 W 10th St Ste 5, Laurel, MS 39440-2626 | 2006-08-04 |
| 1932113404 | Jason M. Beddingfield | Optometrist | 1620 Highway 15 N, Suite A-1, Laurel, MS 39440-1892 | 2006-07-28 |
| Find all providers in LAUREL | ||||
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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.