MENDENHALL EYE CLINIC
NPI 1184742843
Optometrist in Mendenhall, MS

Q: What is Mendenhall Optometric Eye Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Active since March 27, 2007

1021 EAST ST, MENDENHALL, MS 39114(601) 847-1232(601) 847-1376 Get Directions Write a Review

NPPES record last updated: April 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mendenhall Eye Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MENDENHALL EYE CLINIC (NPI 1184742843) is a healthcare organization registered as an optometrist in Mendenhall, Mississippi and active in the NPI registry since March 2007. The organization lists Paul Willard Clark, President, as its authorized official.

NPPES Registry Identity

NPI1184742843

Entity TypeOrganization

Primary Taxonomy152W00000X

Legal Business NameMENDENHALL OPTOMETRIC EYE CLINIC, P.A.

Location Address1021 EAST STMendenhall, MS 39114-3107

Mailing AddressP. O. Box 577Mendenhall, MS 39114-3107 · (601) 847-1232 · Fax (601) 847-1376

Phone(601) 847-1232

Fax(601) 847-1376

Organization SubpartNo

Authorized OfficialPaul Willard ClarkPresident · (601) 847-1232

Enumeration DateMarch 27, 2007

Last NPPES UpdateApril 20, 2008

✔ NPI 1184742843 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers

Taxonomy Code152W00000X

License✔ Licensed in MS · 423

Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

1021 EAST ST, Mendenhall, MS 39114

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Other Names 1

Doing Business AsMendenhall Eye Clinic

Other Identifiers 4

Medicaid00087015MS

OtherC03245MS · Group Supplier Code

Medicare NSC0560140001MS

Medicare UPINT20982MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mendenhall Optometric Eye Clinic, P.A.'s NPI number?

The NPI number for Mendenhall Optometric Eye Clinic, P.A. is 1184742843. It was assigned to this organization in the NPPES registry on March 27, 2007. The provider is doing business as Mendenhall Eye Clinic.

Where is Mendenhall Optometric Eye Clinic, P.A. located?

Mendenhall Optometric Eye Clinic, P.A. is located at 1021 East St, Mendenhall, MS 39114. The listed phone number is (601) 847-1232.

What is Mendenhall Optometric Eye Clinic, P.A.'s specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Mendenhall Optometric Eye Clinic, P.A. was last updated on April 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.