Sgec, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

420 Issued in MS

Legal business name

SGEC, INC

Doing business as

Simpson General Eye Clinic

Practice address

1827 C Simpson Highway 149
Mendenhall, MS 39114-3439

Phone

(601) 847-6600

Fax

(601) 847-6606

NPI assigned

Aug 7, 2012

Last updated

Jan 16, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jasper T McCullough, O.D.

Title

Owner

Phone

(601) 847-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Simpson General Eye Clinic Doing business as

Locations

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

{
    "created_epoch": "1344297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358294400000",
    "number": "1760739064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 C SIMPSON HIGHWAY 149",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143439",
            "telephone_number": "601-847-6600",
            "fax_number": "601-847-6606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 C SIMPSON HIGHWAY 149",
            "city": "MENDENHALL",
            "state": "MS",
            "postal_code": "391143439",
            "telephone_number": "601-847-6600",
            "fax_number": "601-847-6606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SGEC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-07",
        "last_updated": "2013-01-16",
        "status": "A",
        "authorized_official_last_name": "MCCULLOUGH",
        "authorized_official_first_name": "JASPER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-847-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087046",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simpson General Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Robinson, CMHT
• Ruby's Homemaker Service
• Rubys Homemaker Service
• Willie Mae Rutherford, CMHT
• Service Rexall Drugs Inc
• Ruchelle Showers
• Simpson Community Healthcare Inc (Simpson General Hospital Physicians Clinic)
• Simpson Community Healthcare Inc.
• Simpson Community Healthcare Inc. (SGH Drive-Thru Clinic)
• Simpson Community Healthcare Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2013; 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.