Eye Clinic of Quitman PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CLINIC OF QUITMAN PLLC

Practice address

303 S Archusa Ave
Quitman, MS 39355-2325

Phone

(601) 776-6988

Fax

(601) 776-6989

NPI assigned

Jun 7, 2022

Last updated

Jun 7, 2022By 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. David Michael Holifield, ODNPI 1922312388

Title

OD//President

Phone

(601) 776-6988

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Glenn M Cochran OD PLLC

  • Optometrist
  • Quitman, MS
  • NPI 1205080512

  Member Of

  NPD member

Locations

Practitioners 3

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.

• David M Holifield, O.D.

  • Optometrist
  • Quitman, MS
  • NPI 1922312388
  Medicare reassignment Care Compare group NPD Authorized official
• Glenn M Cochran, OD

  • Optometrist
  • Quitman, MS
  • NPI 1619944287
  Medicare reassignment Care Compare group NPD
• Franklin Ray Wright Jr., O. D.

  • Optometrist
  • Gulf Shores, AL
  • NPI 1538290317
  NPD (past)

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

{
    "created_epoch": "1654560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654560000000",
    "number": "1396474144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 S ARCHUSA AVE",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552325",
            "telephone_number": "601-776-6988",
            "fax_number": "601-776-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 S ARCHUSA AVE",
            "city": "QUITMAN",
            "state": "MS",
            "postal_code": "393552325",
            "telephone_number": "601-776-6988",
            "fax_number": "601-776-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CLINIC OF QUITMAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-06-07",
        "status": "A",
        "authorized_official_last_name": "HOLIFIELD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OD//PRESIDENT",
        "authorized_official_telephone_number": "601-776-6988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Yevette Cooks, LPC, NCC, LSW
• Dac of Quitman, LLC (Diversicare of Quitman)
• Donald G. Traxler, D.M.D., P.a.
• Christon Deanna Elfring, DNP,FNP
• Essence Nurse LLC
• Fred's Stores of Tennessee Inc. (Fred's Pharmacy #2720)
• Freds Pharmacy of Quitman
• Brittany Carney Gardner, FNP-C
• Lakisha Gibson, APRN
• Glenn M Cochran OD PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.