CARTHAGE EYE CLINIC PA (NPI# 1770786188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770786188 |
| Entity Type | Organization |
| Organization Name | CARTHAGE EYE CLINIC PA |
| Practice Address |
201 Hwy 16 East Carthage MS 39051 |
| Mailing Address |
Po Box 911 Carthage MS 39051-0911 |
| Practice Telephone | 6012679351 |
| Practice Fax Number | 6012679004 |
| Mailing Telephone | 6012679351 |
| Mailing Fax Number | 6012679004 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | PHILIP MARLER (OWNER) |
| Authorized Official Telephone | 6012679351 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 605 | MS | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 02157371 | 05 | |
| MS | BCBS | 586608111B | 01 |
| MS | DMERC | 5196240001 | 01 |
| MS | 00880054 | 05 |
| Street Address |
201 HWY 16 EAST |
| City | CARTHAGE |
| State | MS |
| Zip Code | 39051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598275828 | Roots Healthcare and Homes, LLC | Meals | 292 Pickens Circle, Carthage, MS 39051 | 2017-09-30 |
| 1427575505 | Trend Health and Rehab of Carthage | Skilled Nursing Facility | 1101 E. Franklin Street, Carthage, MS 39051 | 2017-08-29 |
| 1750738415 | Telehealthone LLC | Nurse Practitioner | 300 South Pearl Street, Carthage, MS 39051 | 2016-05-23 |
| 1316297575 | Silver Lining Adult Daycare, LLC | Respite Care | 531 Highway 35 North, Carthage, MS 39051 | 2012-09-14 |
| 1508179888 | Mississippi Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 205 Highway 16 West, Carthage, MS 39051 | 2010-07-15 |
| 1376725754 | Amye L Shamburger | Dentist | 101 S. Pearl Street, Carthage, MS 39051 | 2007-11-28 |
| 1265553762 | David C Henderson | Dentist | 113 North Pearl St, Carthage, MS 39051 | 2007-04-02 |
| 1780722280 | Linda N Roland | Nurse Practitioner | 204 Chipley St., Carthage, MS 39051 | 2007-02-05 |
| 1205914298 | William M Myers II | Dentist | 12646 Hwy 488, Carthage, MS 39051 | 2006-11-01 |
| 1548353063 | Beverly Enterprises - Mississippi Inc | Skilled Nursing Facility | 1101 E Franklin St, Carthage, MS 39051 | 2006-10-02 |
| Find all providers in zip 39051 | ||||
| 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 |
|---|---|---|---|---|
| 1154974509 | Shawn Douglas Westbrook | Optometrist | 102 S Gaston St Apt 12, Carthage, TX 75633-2858 | 2019-07-24 |
| 1407385701 | Shelby Nicole Baugh Bruner | Optometrist | 2020 S Garrison Ave Ste A, Carthage, MO 64836-3688 | 2017-06-08 |
| 1639528912 | Minhthu Nguyen | Optometrist | 201 Highway 16 E, Carthage, MS 39051-4203 | 2016-06-08 |
| 1487047536 | Carthage Vision Clinic LLC | Optometrist | 2020 S Garrison Ave, Carthage, MO 64836-3687 | 2015-03-13 |
| 1265748354 | Superior Performance Eye Care Specialst | Optometrist | 514 Wabash Ave, Carthage, IL 62321-1360 | 2010-08-26 |
| 1407942741 | Ben B Donald II | Optometrist | 403 N Adams St, Carthage, TX 75633-1311 | 2006-10-05 |
| 1205927761 | Dennis D Golden Sr. | Optometrist | 105 Cottage Rd, Carthage, TX 75633 | 2006-09-27 |
| 1104937556 | Neil Simmons | Optometrist | 110 N Van Buren St, Carthage, MS 39051-4126 | 2006-08-31 |
| 1689681652 | Susan C Beachler | Optometrist | 101 Monroe Pl, Carthage, NC 28327-9784 | 2006-08-02 |
| 1013940477 | Gregory J. Goetzinger | Optometrist | 215 E 3rd St, Carthage, MO 64836-1661 | 2006-07-09 |
| Find all providers in CARTHAGE | ||||
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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.