Greenwood Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

887 Issued in MS

Legal business name

GREENWOOD EYE CARE, LLC

Practice address

2202 Hwy 82 W
Greenwood, MS 38930-2706

Phone

(662) 609-6402

NPI assigned

Aug 2, 2013

Last updated

Aug 2, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jacob Daniel Long, O.D.NPI 1710329156

Title

Owner/Optometrist

Phone

(662) 609-6402

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Daniel Long, O.D.

  • Optometrist
  • Greenwood, MS
  • NPI 1710329156
  Authorized official Same address or phone

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

{
    "created_epoch": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375401600000",
    "number": "1093147928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ACORN LN",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062359",
            "telephone_number": "662-609-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 HWY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302706",
            "telephone_number": "662-609-6402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2013-08-02",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "662-609-6402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenwood Clinic for Women PLLC
• Greenwood Comprehensive Medical Clinic
• Greenwood Downtown Drugs Inc
• Greenwood Downtown Drugs Inc
• Greenwood Drugs LLC (Greenwood Drugs)
• Greenwood Leflore Hospital
• Greenwood Leflore Hospital (Greenwood Neurology Clinic)
• Greenwood Leflore Hospital (North Central MS Urology Clinic)
• Greenwood Leflore Hospital (Greenwood Leflore Pharmacy)
• Greenwood Leflore Hospital (Gorton Clinic)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.