Mississippi Eye LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

MS828 Issued in MS

Legal business name

MISSISSIPPI EYE LLC

Practice address

1309 Highway 35 S
Forest, MS 39074-5010

Phone

(404) 481-7931

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Christopher Cook, OD

Title

Ceo

Phone

(404) 481-7931

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1194190496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEMORY LN",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106890",
            "telephone_number": "404-481-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 HIGHWAY 35 S",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390745010",
            "telephone_number": "404-481-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI EYE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-481-7931",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "MS828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lawonna McDonald
• Tyler McIntosh, PHARMD
• Terry Ann Meadows, DO
• Medicomp, Inc. (Forest Physical Therapy)
• Heather Miles
• Mississippi State Department of Health
• Mississippi State Department of Health (East Central Home Health Agency 6A)
• Lisa Monk
• Krishna Santasha Moore, LCSW
• Sarah Mote, OT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.