GRADY M. CLARK JR., O.D.P.A. (NPI# 1922409028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922409028 |
| Entity Type | Organization |
| Organization Name | GRADY M. CLARK JR., O.D.P.A. |
| Other Organization Name | EYETECH EYECARE CENTER |
| Practice Address |
2112 N Frontage Rd Meridian MS 39301-6158 |
| Practice Telephone | 6016932020 |
| Practice Fax Number | 6016932690 |
| Mailing Telephone | 6016932020 |
| Mailing Fax Number | 6016932690 |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2017-02-20 |
| Authorized Official Name | MRS. WENDY K CLARK (OFFICE ADMINISTRATOR) |
| Authorized Official Telephone | 6016932020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 457 | MS | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| Eyetech Eyecare Center | Doing Business As Name - Organization |
| Street Address |
2112 N FRONTAGE RD |
| City | MERIDIAN |
| State | MS |
| Zip Code | 39301-6158 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831276278 | Grady Mims Clark Jr. | Optometrist | 2112 N Frontage Rd, Meridian, MS 39301-6158 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407460439 | Kayla Lee Monsour | Pharmacist | 1415 24th Avenue, Meridian, MS 39301 | 2020-09-08 |
| 1306478359 | K&r Optical Solutions Corporation | Eyewear Supplier (Equipment, not the service) | 3126 8th St., Suite A, Meridian, MS 39301 | 2020-02-07 |
| 1912537317 | Courtney M Hollie | Counselor | 1054 Ms-19, Meridian, MS 39301 | 2020-01-24 |
| 1932636495 | Rcg Mississippi, Inc. | Clinic/Center | 1300 38th Ave E, Meridian, MS 39301 | 2017-05-16 |
| 1811428915 | Tierria Mcglothin | Nurse Practitioner | 1054 Highway 19 S, Meridian, MS 39301 | 2017-03-21 |
| 1154869303 | Lindsay Nemanich | Physical Therapist | 3716 Ms-39, Meridian, MS 39301 | 2017-02-08 |
| 1700323599 | Wal-mart Stores East Lp | Pharmacy | 3310-a Highway 39 North, Meridian, MS 39301 | 2017-01-31 |
| 1972977460 | Southeast Pharmacy LLC | Pharmacy | 2402 Long Creek Road, Meridian, MS 39301 | 2015-11-20 |
| 1235508342 | East Mississippi Oral & Facial Surgery, LLC | Clinic/Center | 1212 24th Avenue, Meridian, MS 39301 | 2015-09-18 |
| 1831580778 | Clarkdale Pharmacy and Gifts LLC | Pharmacy | 6935c Hwy 145, Meridian, MS 39301 | 2015-02-13 |
| Find all providers in zip 39301 | ||||
| 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 |
|---|---|---|---|---|
| 1386252609 | Primary Eyecare South LLC | Optometrist | 1217 S Frontage Rd Ste E, Meridian, MS 39301-6124 | 2020-07-22 |
| 1538792551 | Eyes On Meridian LLC | Optometrist | 119 E Calderwood Dr, Meridian, ID 83642-7482 | 2020-02-18 |
| 1952703209 | Reservoir Eye Care Clinic Pllc | Optometrist | 536 Lindley Rd, Meridian, MS 39305-2301 | 2014-09-18 |
| 1881011526 | Meridian Eye Care, LLC | Optometrist | 5002 Highway 39 N Bldg B, Meridian, MS 39301-1078 | 2014-03-19 |
| 1073814737 | Carter Vision Care, Pllc | Optometrist | 1157 E Puffin St, Meridian, ID 83642-7444 | 2010-11-11 |
| 1265749493 | William Paul Schilling | Optometrist | 795 W Overland Rd, Meridian, ID 83642 | 2010-09-09 |
| 1376705293 | Luke A Randall | Optometrist | 1540 W Cayuse Creek Dr, Meridian, ID 83646-4795 | 2008-07-01 |
| 1578757076 | Primary Eyecare & Optical of Meridian, P.a. | Optometrist | 4721 26th Ave., Meridian, MS 39305 | 2007-08-29 |
| 1770776353 | Melissa Ann Fowler | Optometrist | 1715 S Wells Ave # 100, Meridian, ID 83642-5066 | 2007-08-27 |
| 1316013691 | The Eye Associates, P.a. | Optometrist | 2620 S Eagle Rd, Meridian, ID 83642-6704 | 2006-11-28 |
| Find all providers in MERIDIAN | ||||
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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.