Active NPI
Coleman Eye Center, PLLC
- Ophthalmology Physician
- Greenwood, MS
National Provider Identifier
1528066644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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
- Last updated
- Jul 21, 2022
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MS | Primary |
Addresses
Primary practice location
2005 Highway 82 W
Greenwood, MS 38930-2720
Mailing address
2005 Highway 82 W
Greenwood, MS 38930-2720
Phone (662) 455-4523
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
1607 Highway 1 S
Greenville, MS 38701
Phone (662) 378-2085
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Greenwood, MS
- NPI 1336147271
-
- Optometrist
- Olive Branch, MS
- NPI 1023460326
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, MS
- 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
Sources for this page
- 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.