Hazlehurst Eye Clinic, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

787 Issued in MS

Legal business name

HAZLEHURST EYE CLINIC, P.C.

Practice address

118 Caldwell Dr
Hazlehurst, MS 39083-3023

Phone

(601) 894-2951

Fax

(601) 894-2952

NPI assigned

Jul 14, 2008

Last updated

Aug 26, 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

Chad P Smith, O.D.

Title

President

Phone

(601) 894-2951

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219708800000",
    "number": "1407010937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390833023",
            "telephone_number": "601-894-2951",
            "fax_number": "601-894-2952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 CALDWELL DR",
            "city": "HAZLEHURST",
            "state": "MS",
            "postal_code": "390833023",
            "telephone_number": "601-894-2951",
            "fax_number": "601-894-2952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAZLEHURST EYE CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-08-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-894-2951",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Dale Griffin
• Randy Hankins, MD
• Hardy Wilson Memorial Hospital
• Hardy Wilson Memorial Hospital
• Hazlehurst Elementary School
• Hazlehurst Vision Clinic
• Heavenly Hands Services, LLC
• Kentauria Henley, RD
• Lynice Higgins, MSW, CMHT
• Marvin E Hightower

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.