Peltan Optical

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20927 Issued in MS

Legal business name

PELTAN OPTICAL

Practice address

425B N Davis Ave
Cleveland, MS 38732-2351

Phone

(662) 545-4600

Fax

(662) 545-4595

NPI assigned

Dec 13, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Ivens Peltan

Title

Partner

Phone

66254544600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1558639922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425B N DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322351",
            "telephone_number": "662-545-4600",
            "fax_number": "662-545-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425B N DAVIS AVE",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322351",
            "telephone_number": "662-545-4600",
            "fax_number": "662-545-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELTAN OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "PELTAN",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "IVENS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "66254544600",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "20927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patterson Chiropractic Clinic, PA
• Michael Ray Patterson, D.C.
• Alyssa Cummins Pearson, PT
• Nora Pegues
• Peltan Eye Centers of Mississippi, LLC (Peltan Eye & Laser)
• Harold Lee Peltan, M.D.
• Pharmedium Services LLC
• PHC-Cleveland Inc (Magnolia Medical Clinic)
• PHC-Cleveland Inc. (Bolivar Medical Center Long Term Care Facility)
• PHC-Cleveland LLC (Bolivar Medical Center)

• Ophthalmology Physician in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.