Taylorsville Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TAYLORSVILLE EYE CARE LLC

Practice address

300 Pine St
Taylorsville, MS 39168-5432

Phone

(601) 785-0111

NPI assigned

Jul 24, 2012

Organization subpart

No

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

Authorized official

Name

Tammy Womble

Title

Insurance

Phone

(601) 785-0111

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Bethany Ann South, OD

  • Optometrist
  • Bay Springs, MS
  • NPI 1316137052
  NPD (past)

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

{
    "created_epoch": "1343088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371081600000",
    "number": "1326394677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1280",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391681280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINE ST",
            "city": "TAYLORSVILLE",
            "state": "MS",
            "postal_code": "391685432",
            "telephone_number": "601-785-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORSVILLE EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-24",
        "last_updated": "2013-06-13",
        "status": "A",
        "authorized_official_last_name": "WOMBLE",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "INSURANCE",
        "authorized_official_telephone_number": "601-785-0111"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07927516",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Waylon Scruggs, FNP-C
• Sharon L Scruggs, FNP-BC
• Jo Ellen Sullivan, R. PH.
• T & H Healthcare Solutions, LLC
• T & T Nemt Services, LLP
• Taylorsville Family Dental
• Sherry Thigpen, LPN
• Jennifer Thompson, PHARMD
• Nellie Turner
• Lamarca Marie Walker, TRANSPORTATION

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; 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.