Cooper - Pang Eye Clinic, P.a.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

COOPER - PANG EYE CLINIC, P.A.

Practice address

561 Medical Drive
Clarksdale, MS 38614

Phone

(662) 627-5256

NPI assigned

Oct 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Victor PangNPI 1396840922

Title

Vice-President

Phone

(662) 627-5256

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

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

• Victor Pang, M.D.

  • Ophthalmology Physician
  • Clarksdale, MS
  • NPI 1396840922
  Medicare reassignment Care Compare group NPD Authorized official
• Tom Cooper, M.D.

  • Ophthalmology Physician
  • Clarksdale, MS
  • NPI 1013013648
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1801989322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 MEDICAL DRIVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "38614",
            "telephone_number": "662-627-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 MEDICAL DRIVE",
            "city": "CLARKSDALE",
            "state": "MS",
            "postal_code": "38614",
            "telephone_number": "662-627-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOPER - PANG EYE CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "PANG",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "662-627-5256",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD1827",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014158",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassionate Hands Inc
• Comprehensive Hospitalists of Ms, LLC
• Allison Marie Conley
• Cheryl S Conley, MSW
• Kelly Hemphill Connell, M.S. CCC-SLP
• Lucy Cooper
• Tom Cooper, M.D.
• Robert Harding Corley, MS
• Leatrice R Cowan, CRNA
• Crossroads Urology

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.