DR. RYAN SHELTON WALLY (NPI# 1851555106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851555106 |
| Entity Type | Individual |
| Full Name | DR. RYAN SHELTON WALLY |
| Credential | O.D. |
| Practice Address |
2167 S Lamar Blvd Oxford MS 38655-5223 |
| Practice Telephone | 6622346683 |
| Practice Fax Number | 6622346683 |
| Mailing Telephone | 6622346683 |
| Mailing Fax Number | 6622346683 |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2014-06-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 796 | MS | Eye and Vision Services Providers |
| Street Address |
2167 S LAMAR BLVD |
| City | OXFORD |
| State | MS |
| Zip Code | 38655-5223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093704223 | William M. Strickland | Optometrist | 2167 S Lamar Blvd, Oxford, MS 38655-5223 | 2005-10-20 |
| 1154833572 | Oxford Eye Clinic & Optical, Pllc | Optometrist | 2167 S Lamar Blvd, Oxford, MS 38655-5223 | 2017-10-25 |
| 1083047492 | William Strickland, Od | Optometrist | 2167 S Lamar Blvd, Oxford, MS 38655-5223 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619585809 | Oxford Treatment Center, LLC | Substance Abuse Rehabilitation Facility | 616 Commerce Parkway, Oxford, MS 38655 | 2020-07-14 |
| 1760044465 | Lindsay Low Beauchamp | Speech-Language Pathologist | 169 Ms-6 #102, Oxford, MS 38655 | 2019-07-02 |
| 1861058075 | Tomiko D Mackey | Social Worker | 100 Carriage Cove, Oxford, MS 38655 | 2019-05-13 |
| 1174090039 | Derionne Brooks | Specialist/Technologist | 972 Hathorn Road, University, MS 38655 | 2018-10-30 |
| 1497236327 | Providence Companion Care | Nurse's Aide | 317 Heritage Dr Ste 3b, Oxford, MS 38655 | 2018-08-28 |
| 1255817292 | Marcela Caroline Weber | Counselor | 152 Mississippi 7 South, Oxford, MS 38655 | 2018-07-12 |
| 1649775123 | Oxford Outpatient Center, LLC | Clinic/Center | 611 Commerce Pkwy, Oxford, MS 38655 | 2018-03-27 |
| 1073039962 | Sharon Yvette Holloway | Social Worker | 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 | 2017-08-22 |
| 1447774682 | Courtney M Purvis | Physical Therapist | 300 Enterprise Dr Ste B, Oxford, MS 38655 | 2017-07-31 |
| 1649716580 | Taylor Lynn Smith | Counselor | 152 Ms-7, Oxford, MS 38655 | 2017-01-17 |
| Find all providers in zip 38655 | ||||
| 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 |
|---|---|---|---|---|
| 1659930444 | Myeyedr Optometry of Ohio, LLC | Optometrist | 5225 Morning Sun Rd Ste B, Oxford, OH 45056-8929 | 2019-06-06 |
| 1619467289 | Carey Dillard Hill | Optometrist | Oxford Exchange, 800 Oxford Exchange Boulevard, Oxford, AL 36203 | 2018-05-18 |
| 1679028369 | Alabama Family Optometry | Optometrist | 60 Commons Way, Suite E, Oxford, AL 36203-3465 | 2016-08-23 |
| 1053640540 | Agnes Forsac Esaka | Optometrist | 800 Commons Dr, Oxford, PA 19363-1247 | 2009-12-14 |
| 1548468374 | Jennifer Chase | Optometrist | 496 Sunset Blvd, Oxford, MI 48371-5186 | 2007-07-03 |
| 1538226170 | Joseph Vincent Papandrea | Optometrist | 9 Sutton Ave, Oxford, MA 01540-1738 | 2007-01-02 |
| 1801964259 | Steve M Depriest | Optometrist | 611 Van Buren Ave, Oxford, MS 38655-3839 | 2006-12-02 |
| 1023101342 | Michael G Turner | Optometrist | 1110 N Lamar Blvd, Oxford, MS 38655-2844 | 2006-09-30 |
| 1992805402 | Robert M. Currin | Optometrist | 203 E Industry Dr Ste B, Oxford, NC 27565-4001 | 2006-09-24 |
| 1063511053 | Emerson Greene Smith | Optometrist | 470 Main Street, Oxford, MA 01540 | 2006-09-22 |
| Find all providers in OXFORD | ||||
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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.