Organization Active NPI

Starkville Eye Clinic

  • Eyewear Supplier
  • Starkville, MS
National Provider Identifier
1891003422
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
767 Issued in MS
Legal business name
STARKVILLE EYE CLINIC
Practice address
1085 Stark Rd
Suite C
Starkville, MS 39759-3682
Phone
(662) 320-6636
Fax
(662) 320-3838
NPI assigned
Sep 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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

Authorized official

Name
Dr. Sherylan Anne Webb, O.D.
Title
Optometrist, Owner
Phone
(662) 320-6636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 767 MS Primary

Addresses

Primary practice location

1085 Stark Rd
Suite C
Starkville, MS 39759-3682

Mailing address

1085 Stark Rd
Suite C
Starkville, MS 39759-3682
Phone (662) 320-6636

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284595200000",
    "number": "1891003422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1085 STARK RD",
            "address_2": "SUITE C",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593682",
            "telephone_number": "662-320-6636",
            "fax_number": "662-320-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1085 STARK RD",
            "address_2": "SUITE C",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593682",
            "telephone_number": "662-320-6636",
            "fax_number": "662-320-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARKVILLE EYE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2010-09-16",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "SHERYLAN",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OPTOMETRIST, OWNER",
        "authorized_official_telephone_number": "662-320-6636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; 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.