Eyedeal Optical Yazoo City LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYEDEAL OPTICAL YAZOO CITY LLC

Doing business as

Eyedeal Optical Yazoo

Practice address

728 East 15TH Street
Yazoo City, MS 39194

Phone

(662) 332-3325

Fax

(662) 378-3325

NPI assigned

Apr 9, 2008

Last updated

Apr 9, 2008By 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

Mrs. Monica Moore, CPOA

Title

Insurance Administrator

Phone

(662) 332-3325

Specialties & licenses 1

Addresses

Other names 1

• EYEDEAL OPTICAL YAZOO Doing business as

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1245403351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HIGHWAY 82 E",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387036010",
            "telephone_number": "662-332-3325",
            "fax_number": "662-378-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "728 EAST 15TH STREET",
            "city": "YAZOO CITY",
            "state": "MS",
            "postal_code": "39194",
            "telephone_number": "662-332-3325",
            "fax_number": "662-378-3325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEAL OPTICAL YAZOO CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "662-332-3325",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPOA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYEDEAL OPTICAL YAZOO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dynamic Yazoo City Operating Company LLC
• Emerald Well, PLLC
• Essco Discount Drug Center Inc (Essco Discount Drug Center)
• Reva Marie Eulls
• Sonia Evern
• Family Dental Clinic of Yazoo City, LLC
• James O Farrell Jr., PT
• Presley Farrish
• Fast Pace Mississippi, PLLC
• Mika Fenelon

• Optometrist in Yazoo City, MS
• Providers in Yazoo City, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.