Harrell Family Eye Clinic, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

779 Issued in MS

Legal business name

HARRELL FAMILY EYE CLINIC, INC.

Practice address

902 Delaware Ave
McComb, MS 39648-3826

Phone

(601) 684-2220

Fax

(601) 684-8417

NPI assigned

Jul 24, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Jarrold Arnard Harrell, O.D.NPI 1508060724

Title

President

Phone

(601) 684-2220

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jarrold Arnard Harrell, O.D.

  • Optometrist
  • McComb, MS
  • NPI 1508060724
  Medicare reassignment Care Compare group Authorized official
• Kimberly F. Harrell, O.D.

  • Optometrist
  • McComb, MS
  • NPI 1285838417
  Medicare reassignment Care Compare group NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1043410202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483826",
            "telephone_number": "601-684-2220",
            "fax_number": "601-684-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 DELAWARE AVE",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396483826",
            "telephone_number": "601-684-2220",
            "fax_number": "601-684-8417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRELL FAMILY EYE CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "JARROLD",
        "authorized_official_middle_name": "ARNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-684-2220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hands of Purpose Health and Wellness LLC (Hand of Purpose)
• Anesha Handshaw, CRNA
• Burnett Hanson, MD
• Tewonie Harness
• Harrell Family Eye Clinic No. 2 Inc.
• Jarrold Arnard Harrell, O.D.
• Kimberly F. Harrell, O.D.
• Jordan Harrington, N.P.
• Jen Harris
• Patricia Harrison

• Optometrist in McComb, MS
• Providers in McComb, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.