Eyedeal Optical Cleveland LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

651 Issued in MS

Legal business name

EYEDEAL OPTICAL CLEVELAND LLC

Doing business as

EyeDeal Optical

Practice address

425 N Davis Ave
Suite B
Cleveland, MS 38732-2351

Phone

(662) 843-8771

Fax

(662) 843-8750

NPI assigned

Jan 16, 2007

Last updated

Dec 17, 2007By 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. Reagan Lee Ford II, O.D.NPI 1902826696

Title

President

Phone

(662) 332-3325

Specialties & licenses 1

Addresses

Other names 1

• EyeDeal Optical Doing business as

Locations

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.

• Reagan Lee Ford II, O.D.

  • Optometrist
  • Columbus, MS
  • NPI 1902826696
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1881745941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 HIGHWAY 82 E",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387036010",
            "telephone_number": "662-332-3325",
            "fax_number": "662-378-3325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 N DAVIS AVE",
            "address_2": "SUITE B",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322351",
            "telephone_number": "662-843-8771",
            "fax_number": "662-843-8750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDEAL OPTICAL CLEVELAND LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "REAGAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-332-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeDeal Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meredith M Engle, SLP
• Ranesha Especto, LPC
• Tiffany Evans, RN
• Exceed Physical Therapy of Cleveland, LLC
• Express Care of Cleveland, LLC
• Foluso A Fakorede, MD
• Family Home Care Agency
• Family Medical Clinic of Cleveland, LLC
• Rebecca Carter Fisher, CRNA
• Ann McClellan Franklin, DOCTOR OF PHARMACY

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.