Byhalia Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BYHALIA VISION CENTER LLC

Practice address

8250 Hwy 178 West
Byhalia, MS 38611-6776

Phone

(662) 850-1051

Fax

(662) 850-1053

NPI assigned

Apr 24, 2019

Last updated

Apr 24, 2019By 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. Kellie Jones, ODNPI 1790185999

Title

Optometrist/Owner

Phone

(901) 461-1366

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 5

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.

• Kellie Jones, OD

  • Optometrist
  • Southaven, MS
  • NPI 1790185999
  Medicare reassignment Care Compare group NPD Authorized official
• Christina Marie Brown, O.D.

  • Optometrist
  • Southaven, MS
  • NPI 1700918729
  Medicare reassignment Care Compare group NPD
• Michael Edward Obrien, O.D.

  • Optometrist
  • Southaven, MS
  • NPI 1306925029
  Medicare reassignment Care Compare group NPD
• Jonathan William Wilson, O.D.

  • Optometrist
  • Southaven, MS
  • NPI 1881738532
  Medicare reassignment Care Compare group NPD
• Ty Smith, OD

  • Optometrist
  • Collierville, TN
  • NPI 1992282529

  MS

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1952965022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E STE 100",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719504",
            "telephone_number": "662-772-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 HWY 178 WEST",
            "city": "BYHALIA",
            "state": "MS",
            "postal_code": "386116776",
            "telephone_number": "662-850-1051",
            "fax_number": "662-850-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYHALIA VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "901-461-1366",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Boyd, DNP, FNP-C
• Chauntay Yvette Bradley, M.D.
• Yvonne Ingram Burns, M.A.
• Byhalia Drug
• Byhalia Drug Company LLC
• Lacutlass Sharnise Byno, NP
• Annabelle D. Cabe, M.D.
• Teresa Crockett, FNP
• Kimberly Lashun Cross, NP
• Brenda Davis, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.