Harrell Family Eye Clinic No. 2 Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

780 Issued in MS

Legal business name

HARRELL FAMILY EYE CLINIC NO. 2 INC.

Practice address

1608 Veterans Blvd
McComb, MS 39648-2049

Phone

(601) 684-3685

NPI assigned

Aug 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Harrell, O.D.NPI 1285838417

Title

Owner

Phone

(601) 684-3688

Specialties & licenses 1

Addresses

Other names 1

• Kimberly Harrell, O.D. Former legal business name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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

• Kimberly F. Harrell, O.D.

  • Optometrist
  • McComb, MS
  • NPI 1285838417
  Medicare reassignment NPD Authorized official
• Jarrold Arnard Harrell, O.D.

  • Optometrist
  • McComb, MS
  • NPI 1508060724
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401408000000",
    "number": "1629225354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1393",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396491393",
            "telephone_number": "601-684-3688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 VETERANS BLVD",
            "city": "MCCOMB",
            "state": "MS",
            "postal_code": "396482049",
            "telephone_number": "601-684-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRELL FAMILY EYE CLINIC NO. 2 INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-25",
        "last_updated": "2014-05-30",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-684-3688",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimberly Harrell, O.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kim Hammond
• Hands of Purpose Health and Wellness LLC (Hand of Purpose)
• Anesha Handshaw, CRNA
• Burnett Hanson, MD
• Tewonie Harness
• Harrell Family Eye Clinic, Inc.
• Jarrold Arnard Harrell, O.D.
• Kimberly F. Harrell, O.D.
• Jordan Harrington, N.P.
• Jen Harris

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2014; 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.