TKB MCC
NPI 1710103031
Ophthalmology in Grenada, MS

Active since April 17, 2007
990 J K AVENT DR, GRENADA, MS 38901(662) 226-2030(662) 227-1236 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tkb Mcc NPPES

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

TKB MCC (NPI 1710103031) is a healthcare organization registered as an ophthalmology in Grenada, Mississippi and active in the NPI registry since April 2007. The organization lists Thomas Braswell, Owner, as its authorized official.

NPPES Registry Identity

NPI1710103031
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameTKB MCC
Location Address990 J K AVENT DRGrenada, MS 38901-5002
Mailing AddressPo Box 458Grenada, MS 38902-0458 · (662) 226-2030 · Fax (662) 227-1236
Fax(662) 227-1236
Organization SubpartNo
Authorized OfficialThomas BraswellOwner · (662) 226-2030
Enumeration DateApril 17, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1710103031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
990 J K AVENT DR, Grenada, MS 38901

Other Identifiers 1

Medicaid06207726MS

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 Tkb Mcc's NPI number?

The NPI number for Tkb Mcc is 1710103031. It was assigned to this organization in the NPPES registry on April 17, 2007.

Where is Tkb Mcc located?

Tkb Mcc is located at 990 J K Avent Dr, Grenada, MS 38901. The listed phone number is (662) 226-2030.

What is Tkb Mcc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

When was this NPI record last updated?

The NPPES record for Tkb Mcc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.