Eye Care Center

Primary specialty

OptometristTaxonomy code 152W00000X

License

639 Issued in MS

Legal business name

EYE CARE CENTER

Practice address

852 Winter St
Lucedale, MS 39452-5726

Phone

(601) 947-3553

Fax

(601) 947-3933

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Helen Valentine, O.DNPI 1871653873

Title

President

Phone

(601) 947-3553

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Leslie Helen Valentine, OD

  • Optometrist
  • Lucedale, MS
  • NPI 1871653873
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1174749345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525726",
            "telephone_number": "601-947-3553",
            "fax_number": "601-947-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 WINTER ST",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394525726",
            "telephone_number": "601-947-3553",
            "fax_number": "601-947-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "VALENTINE",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-947-3553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410045258",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015561",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Autumn Denise Edwards
• Lendon L Elmore
• Encore Rehabilitation Inc
• Ashley Nicole Eubanks, PHARMD
• Eugene Kevin Ohea Dr E Kevin Ohea
• Afton Andrews Farris, OT
• Rose Flowers, AGACNP-BC
• Jami S. Fortner
• Bonita Foster, MSW
• Freds Stores of Tennessee Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2012; 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.