Coleman Eye Center, PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COLEMAN EYE CENTER, PLLC

Practice address

2005 Highway 82 W
Greenwood, MS 38930-2720

Phone

(662) 455-4523

Fax

(662) 455-3790

NPI assigned

Jul 12, 2005

Organization subpart

No

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

Authorized official

Name

Tara E Kelly

Title

Insurance Representative

Phone

(662) 455-4523

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Lee Walker Coleman, M.D.

  • Ophthalmology Physician
  • Greenwood, MS
  • NPI 1336147271

  MS, Ophthalmology

  Medicare reassignment Care Compare group NPD
• Preslee Magee, O.D

  • Optometrist
  • Olive Branch, MS
  • NPI 1023460326

  MS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1528066644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302720",
            "telephone_number": "662-455-4523",
            "fax_number": "662-455-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 HIGHWAY 82 W",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302720",
            "telephone_number": "662-455-4523",
            "fax_number": "662-455-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLEMAN EYE CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "INSURANCE REPRESENTATIVE",
        "authorized_official_telephone_number": "662-455-4523"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA GOVERNMENT SERVICES",
            "identifier": "4181580001",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015746",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Central Mississippi Radiology
• Circle of Life Adult Day Center
• Rekeeda Latrice Cockhren
• Coleman Cataract and Eye Laser Surgery Center, Inc
• Coleman Cataract and Eye Laser Surgery Center, Inc.
• Kerri Deanetra Coleman, PCMHT
• Lee Walker Coleman, M.D.
• Brenda Collins, NCC, LPC
• Marcella Renee Collins, MSN, FNP-C
• Ruthie Levette Collins, BSW PCMHT

• All providers in Greenwood, MS
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.