Organization Active NPI

Gracie PLLC

Doing business as Eye Care Associates

  • Eyewear Supplier
  • Tupelo, MS
National Provider Identifier
1417270943
Registry record updated Mar 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
0525 Issued in MS
Legal business name
GRACIE PLLC
Doing business as
Eye Care Associates
Practice address
2005 W Main St
Tupelo, MS 38801-3214
Phone
(662) 205-4654
NPI assigned
Mar 11, 2010
Last updated
Mar 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2010

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

Authorized official

Name
Dr. Thomas S Powell Jr., O.D.
Title
President/Optometrist
Phone
(662) 205-4654

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 0525 MS Primary

Addresses

Primary practice location

2005 W Main St
Tupelo, MS 38801-3214

Mailing address

2005 W Main St
Tupelo, MS 38801-3214
Phone (662) 205-4654

Other names 1

  • EYE CARE ASSOCIATES Doing business as

National Provider Directory

National Provider Directory

Locations

2005 W Main St
Tupelo, MS 38801
Phone (662) 205-4654

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268265600000",
    "number": "1417270943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013214",
            "telephone_number": "662-205-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 W MAIN ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013214",
            "telephone_number": "662-205-4654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACIE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2010-03-11",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "662-205-4654",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "0525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EYE CARE ASSOCIATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2010; 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.