Eyecare Express, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

704 Issued in MS

Legal business name

EYECARE EXPRESS, LLC

Practice address

1733 2ND St S
Meridian, MS 39301-4514

Phone

(601) 553-0527

Fax

(601) 553-1355

NPI assigned

Jun 20, 2007

Last updated

Feb 5, 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

Dr. Minh Tan Duong, O.D.NPI 1871604207

Title

Owner

Phone

(601) 553-0527

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Minh Tan Duong, O.D.

  • Optometrist
  • Meridian, MS
  • NPI 1871604207
  NPD (past) Authorized official

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

{
    "created_epoch": "1182297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202169600000",
    "number": "1427253160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 2ND ST S",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014514",
            "telephone_number": "601-553-0527",
            "fax_number": "601-553-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 2ND ST S",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393014514",
            "telephone_number": "601-553-0527",
            "fax_number": "601-553-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE EXPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-20",
        "last_updated": "2008-02-05",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "TAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-553-0527",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06506733",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valerie Nicole Evans, M.D.
• Caroline Cheatham Everett, NP
• Thurman Keith Everett, M.D.
• Patricia Everette, LCSW
• Eye Clinic of Meridian PLLC
• Makenzie Parker Ezell, PA-C
• Faith in-Home Care, LLC
• Family Counseling Services PLLC
• Alex Fan, PHARM. D
• Taylor Farland, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.