HARRELL FAMILY EYE CLINIC NO. 2 INC. (NPI# 1629225354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629225354 |
| Entity Type | Organization |
| Organization Name | HARRELL FAMILY EYE CLINIC NO. 2 INC. |
| Other Organization Name | KIMBERLY HARRELL, O.D. |
| Practice Address |
1608 Veterans Blvd Mccomb MS 39648-2049 |
| Mailing Address |
Po Box 1393 Mccomb MS 39649-1393 |
| Practice Telephone | 6016843685 |
| Mailing Telephone | 6016843688 |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2014-05-30 |
| Authorized Official Name | DR. KIMBERLY HARRELL (OWNER) |
| Authorized Official Telephone | 6016843688 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 780 | MS | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Kimberly Harrell, O.D. | Former Legal Business Name - Organization |
| Street Address |
1608 VETERANS BLVD |
| City | MCCOMB |
| State | MS |
| Zip Code | 39648-2049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366469777 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1608 Veterans Blvd, Mccomb, MS 39648-2064 | 2006-07-16 |
| 1306446471 | Lance Newlon | Pharmacist | 1608 Veterans Blvd, Mccomb, MS 39648-2064 | 2020-10-28 |
| 1285234427 | Patricia Ilene Ford | Pharmacist | 1608 Veterans Blvd, Mccomb, MS 39648-2064 | 2020-10-27 |
| 1437232600 | Wal-mart Stores East, Lp | Technician/Technologist | 1608 Veterans Blvd, Mccomb, MS 39648-2049 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952910366 | Ct Stamps Inc | Pharmacy | 206 Marion Avenue, Mccomb, MS 39648 | 2020-07-31 |
| 1952910457 | Fresenius Medical Care East Mccomb Dialysis, LLC | Clinic/Center | 103 Business Center Drive, Mccomb, MS 39648 | 2020-07-30 |
| 1902423312 | Joseph Edward Mingo II | Counselor | 513 Lee St, Mccomb, MS 39648 | 2020-07-01 |
| 1427608769 | Benda Truvillion | Technician | 2128 Park Dr. Ext., Mccomb, MS 39648 | 2019-09-18 |
| 1295228187 | Edna Ruth Winston | Counselor | Sw Ms Mental Health Complex, 1701 White St, Mccomb, MS 39648 | 2018-06-14 |
| 1386153450 | Sholitha Nunnery | Counselor | 502 North Cherry Street, Mccomb, MS 39648 | 2017-09-21 |
| 1548600612 | Jordan Harrington | Nurse Practitioner | 303 Marion Ave., Mccomb, MS 39648 | 2013-07-03 |
| 1891096236 | Zwound Care | Family Medicine | 1126 Country Club Road, Mccomb, MS 39648 | 2010-11-16 |
| 1588891717 | Kelly Edmondson | Physical Therapy Assistant | 1301a Harrison Ave, Mccomb, MS 39648 | 2009-06-15 |
| 1962647651 | Gwendolyn Michelle Brown | Home Health Aide | 1114 1/2 Venable St., Mccomb, MS 39648 | 2008-12-09 |
| Find all providers in zip 39648 | ||||
| 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 |
|---|---|---|---|---|
| 1508060724 | Jarrold Arnard Harrell | Optometrist | 902 Delaware Ave, Mccomb, MS 39648-3826 | 2007-06-12 |
| 1083783963 | Charles E Barnes | Optometrist | 414a Marion Ave, Mccomb, MS 39648-2710 | 2006-11-07 |
| 1629476197 | Lynn Stone Kebert | Optometrist | 1307 Aston Ave, Mccomb, MS 39648-2898 | 2014-12-15 |
| 1326298704 | Dr. Chuck Barnes, Pa | Optometrist | 414a Marion Ave, Mccomb, MS 39648-2710 | 2008-09-23 |
| 1043410202 | Harrell Family Eye Clinic, Inc. | Optometrist | 902 Delaware Ave, Mccomb, MS 39648-3826 | 2007-07-24 |
| 1285838417 | Kimberly F. Harrell | Optometrist | 902 Delaware Ave, Mccomb, MS 39648-3826 | 2007-06-12 |
| 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 | ||||
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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.