NPIMap

Organization Active NPI

Peltan Eye Centers of Mississippi, LLC

Doing business as Peltan Eye & Laser

  • Ophthalmology Physician
  • Cleveland, MS
National Provider Identifier
1639591613
Registry record updated Nov 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PELTAN EYE CENTERS OF MISSISSIPPI, LLC
Doing business as
Peltan Eye & Laser
Practice address
425B N Davis Ave
Cleveland, MS 38732-2351
Phone
(662) 545-4600
NPI assigned
Jan 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2019

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

Authorized official

Name
Dr. Harold Lee Peltan, M.D.NPI 1801968011
Title
Organizer
Phone
(330) 461-6077

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X MS Primary

Addresses

Primary practice location

425B N Davis Ave
Cleveland, MS 38732-2351

Mailing address

PO Box 1269
Cleveland, MS 38732-1269
Phone (662) 545-4600

Other names 1

  • Peltan Eye & Laser Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572739200000",
    "number": "1639591613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387321269",
            "telephone_number": "662-545-4600"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELTAN EYE CENTERS OF MISSISSIPPI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2019-11-03",
        "status": "A",
        "authorized_official_last_name": "PELTAN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "330-461-6077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Peltan Eye & Laser",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Peltan Eye & Laser",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cleveland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2019; 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.