Perfectly Clear Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PERFECTLY CLEAR EYE CARE, LLC

Practice address

1913 Highway 45 N
Columbus, MS 39705-1950

Phone

(601) 917-0667

NPI assigned

Dec 10, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly B. Yeates, OD

Title

Owner

Phone

(601) 917-0667

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 1

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

• Kimberly A Yeates, O.D.

  • Optometrist
  • Columbus, MS
  • NPI 1083804322
  Medicare reassignment NPD

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639094400000",
    "number": "1154080844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 HIGHWAY 12 W # 109",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593582",
            "telephone_number": "601-917-0667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 HIGHWAY 45 N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397051950",
            "telephone_number": "601-917-0667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5509 US-45 ALT S",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "MS",
            "postal_code": "39773",
            "country_code": "US",
            "telephone_number": "601-917-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PERFECTLY CLEAR EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-10",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-06",
        "status": "A",
        "authorized_official_last_name": "YEATES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-917-0667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrust Columbus, LLC
• Erin Peeples, SLP
• Brenda Kay Pennington, NP-C
• Christopher Pennington, FNP-C
• Shemika Peoples, MA
• Savannah Perkins, CFNP
• Bryan Lucas Peterson, D.O.
• Nona Lynn Peterson, LPC
• Thomas C Peterson, LPC
• Abigail Celeste Petty

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.