Sidney D Taylor (NPI# 1821511361, PAC ID# 3072886449) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
Nation Provider ID (NPI) | 1821511361 |
PAC ID by PECOS | 3072886449 |
Professional Enrollment ID | I20170906002893 |
Full Name | Sidney D Taylor |
Organization Legal Name | COLDWATER VISION CENTER LLC |
Address |
412 Central Ave Coldwater MS 38618-3843 |
Phone Number | 6626225173 |
Gender | M |
Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
Graduation Year | 2017 |
Primary Specialty | OPTOMETRY |
Group Practice PAC ID | 4688651649 |
Number of Group Practice Members | 5 |
Accepts Medicare Assignment | Y |
Address | Phone | Organization |
---|---|---|
412 Central Ave, Coldwater, MS 38618-3843 | 6626225173 | COLDWATER VISION CENTER LLC |
Organization Legal Name | COLDWATER VISION CENTER LLC |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren Ashley May | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
Kristopher A May | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
Rhetta A Conn | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
Street Address |
412 CENTRAL AVE |
City | COLDWATER |
State | MS |
Zip | 38618-3843 |
Name | Specialty | Organization | Address |
---|---|---|---|
Lauren Ashley May | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
Kristopher A May | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
Rhetta A Conn | Optometry | Coldwater Vision Center LLC | 412 Central Ave, Coldwater, MS 38618-3843 |
Emily Clare Ridge | Optometry | Vrf Eye Specialty Group Plc | 412 Central Ave, Coldwater, MS 38618-3843 |
Name | Specialty | Organization | Address |
---|---|---|---|
Pravinchandra P Patel | Family Medicine | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
Amit B Patel | Family Medicine | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
Blake A Embrey | Nurse Practitioner | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
Tara C Puckett | Nurse Practitioner | Pravinchandra P. Patel, Md P.C. | 423 Central Ave, Coldwater, MS 38618-3915 |
City | COLDWATER |
Zip Code | 38618 |
Specialty | OPTOMETRY |
City + Specialty | COLDWATER + OPTOMETRY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.