Mount Vernon Eye Care & Eyewear Gallery PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MOUNT VERNON EYE CARE & EYEWEAR GALLERY PLLC

Practice address

508 Texas Highway 37 S
Mount Vernon, TX 75457-6550

Phone

(903) 402-2707

Fax

(903) 402-1770

NPI assigned

Oct 23, 2020

Last updated

Jun 22, 2021By 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. Haley E Puryear, ODNPI 1518367119

Title

Optometrist/Owner

Phone

(312) 810-0764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

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.

• Haley Elizabeth Puryear, O.D.

  • Optometrist
  • Dallas, TX
  • NPI 1518367119
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624320000000",
    "number": "1265031918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 595",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754570595",
            "telephone_number": "903-402-2707",
            "fax_number": "903-402-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 TEXAS HIGHWAY 37 S",
            "city": "MOUNT VERNON",
            "state": "TX",
            "postal_code": "754576550",
            "telephone_number": "903-402-2707",
            "fax_number": "903-402-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON EYE CARE & EYEWEAR GALLERY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A",
        "authorized_official_last_name": "PURYEAR",
        "authorized_official_first_name": "HALEY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "312-810-0764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medicine Chest Medical Supply, Inc. (Medicine Chest Medical Supply of Mt. Vernon)
• Medlife Pharmacy
• Michael a. Walker, D.O., P.a.
• MJ Management
• Mother Frances Hospital-Winnsboro (Family Care Center Mt Vernon)
• Mount Vernon Healthcare Residence LLC (Mission Manor Healthcare Residence)
• Mt Vernon Chiropractic Clinic PLLC (Mt Vernon Chiropractic Clininc)
• Mt Vernon Independent School Dist
• Mt Vernon Nursing Home Inc (Mission Manor Nursing Home)
• N.E.T. Opportunies, Inc.

• Optometrist in Mount Vernon, TX
• Providers in Mount Vernon, TX by specialty
• Optometrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 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.