Harold Lee Peltan, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

20927 Issued in MS

Practice address

425B N Davis Ave
Cleveland, MS 38732-2351

Phone

(662) 545-4600

Fax

(662) 545-4588

NPI assigned

Nov 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Surgical Success

  • Ophthalmology Physician
  • Bay Village, OH
  • NPI 1760554992
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572739200000",
    "number": "1801968011",
    "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",
            "fax_number": "662-545-4588"
        },
        {
            "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": "662-545-4588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELTAN",
        "first_name": "HAROLD",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2019-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35-07-6780-P",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD-071663-L",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IN",
            "license": "01049615A",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "20927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Ray Patterson, D.C.
• Alyssa Cummins Pearson, PT
• Nora Pegues
• Peltan Eye Centers of Mississippi, LLC (Peltan Eye & Laser)
• Peltan Optical
• 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)
• 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 Nov 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.