COOPER - PANG EYE CLINIC, P.A. (NPI# 1801989322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801989322 |
| Entity Type | Organization |
| Organization Name | COOPER - PANG EYE CLINIC, P.A. |
| Practice Address |
561 Medical Drive Clarksdale MS 38614 |
| Practice Telephone | 6626275256 |
| Mailing Telephone | 6626275256 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2008-02-15 |
| Authorized Official Name | DR. VICTOR PANG (VICE-PRESIDENT) |
| Authorized Official Telephone | 6626275256 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09014158 | 05 | |
| RAILROAD MEDICARE | CD1827 | 01 |
| Street Address |
561 MEDICAL DRIVE |
| City | CLARKSDALE |
| State | MS |
| Zip Code | 38614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396840922 | Victor Pang | Ophthalmology | 561 Medical Drive, Clarksdale, MS 38614 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265627 | Lillie Mae Lockett | Technician | 1025 Ritchie Ave, Clarksdale, MS 38614 | 2020-04-28 |
| 1063957751 | Autospa-healthy Youth Center | Nurse Practitioner | 1202 Desoto Ave, Suite A, Clarksdale, MS 38614 | 2017-01-04 |
| 1700226123 | Nikki Nikkia Cager | Internal Medicine | 785 Ohio Ave Ste 2d, Clarksdale, MS 38614 | 2013-06-29 |
| 1205186947 | Celestial Comfort Care Hospice | Hospice Care, Community Based | 110 Yazoo Ave. Suite 212, Clarksdale, MS 38614 | 2012-09-10 |
| 1063667129 | The Smile Center of Clarksdale | Clinic/Center | 526 Choctaw Street, Suites B & C, Clarksdale, MS 38614 | 2008-11-17 |
| 1801060033 | Clarksdale Municipal School District | Local Education Agency (LEA) | Gycelle Tynes Educational Center, Friars Point Road, Clarksdale, MS 38614 | 2008-04-18 |
| 1184806150 | Mary A Williams | Nurse Practitioner | 125 Highway 322, Clarksdale, MS 38614 | 2007-12-03 |
| 1114040367 | William F Wilson Jr. | Dentist | 850 Desoto Ave, Extended, Clarksdale, MS 38614 | 2007-04-10 |
| 1952434920 | Kathleen Tinnel | Nurse Practitioner | 2245 N State St, Clarksdale, MS 38614 | 2007-03-13 |
| 1497888457 | Carole L Mangrem | Pediatrics | 2245 N Starte St, Clarksdale, MS 38614 | 2007-03-13 |
| Find all providers in zip 38614 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467832733 | Evelyn Lucile Massey | Ophthalmology | 500 Chris Rd, Clarksdale, MS 38614-9383 | 2015-06-02 |
| 1013013648 | Tom Cooper | Ophthalmology | 561 Medical Dr, Clarksdale, MS 38614-6733 | 2006-09-14 |
| 1396840922 | Victor Pang | Ophthalmology | 561 Medical Drive, Clarksdale, MS 38614 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417570029 | Vrf Eye Specialty Group, Plc | Ophthalmology | 5800 Delta View Rd, Walls, MS 38680-8341 | 2020-05-19 |
| 1043716665 | Shipp & Wooten Eye Center Pllc | Ophthalmology | 306 Bradley Rd Ste B, Corinth, MS 38834-7047 | 2018-04-03 |
| 1598212755 | James Leighton Pettis Jr. | Ophthalmology | 3 Jackson Sq, Tupelo, MS 38804-2001 | 2016-09-06 |
| 1639532468 | Lee Finley Jones | Ophthalmology | 1501 Lakeland Dr Ste 100, Jackson, MS 39216-4869 | 2016-03-30 |
| 1992145361 | Clayton Stevens | Ophthalmology | 2541 Pass Rd Ste G, Biloxi, MS 39531-2112 | 2013-07-01 |
| 1174833602 | Keith Edward Earley Jr. | Ophthalmology | 301 Fisher Ave, Keesler Afb, MS 39530 | 2010-10-18 |
| 1093941684 | Albert Henlay Laws | Ophthalmology | 200 4th Ave S, Columbus, MS 39701-5645 | 2009-06-09 |
| 1427212992 | James Byron Shipp | Ophthalmology | 2890 S. Lamar, Oxford, MS 38655 | 2008-07-15 |
| 1447412945 | Michael L Wertheimer | Ophthalmology | 726 Goodman Rd E # B, Southaven, MS 38671-9530 | 2008-06-26 |
| 1194984906 | Margaret E Phillips | Ophthalmology | 10051 Lorraine Rd # A-2, Gulfport, MS 39503-6001 | 2008-06-06 |
| Find all providers with the same taxonomy | ||||
| City | CLARKSDALE |
| Zip Code | 38614 |
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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.