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Export Provider Record NPI 1053506683
Corinth Eye Clinic, Inc
Organization Subpart: NO
Active
NPI Number1053506683
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1053506683
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-09-06
Last Updated2025-06-27
Authorized OfficialMichael Weeden
President
Phone: 6622868860
Mailing Address3201 Gaines Rd
Corinth, MS 38834-8422
United States
Phone: (662) 286-8860 | Fax: (662) 286-3079
📍 View Map
Primary Practice Address3201 Gaines Rd
Corinth, MS 38834-8422
United States
Phone: (662) 286-8860 | Fax: (662) 286-3079
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDMS01507367
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – OptometristMS581
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About NPI 1053506683

Corinth Eye Clinic, Inc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053506683. The primary specialty listed is Optometrist. The organization is located in Corinth, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-09-06. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053506683?

NPI 1053506683 belongs to Corinth Eye Clinic, Inc, a Optometrist in Corinth, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053506683 active?

The current status of NPI 1053506683 in the NPPES registry is Active. The record was last updated on 2025-06-27.

What specialty is NPI 1053506683?

NPI 1053506683 is classified under the taxonomy Optometrist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053506683?

You can verify NPI 1053506683 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053506683?

The primary practice address on file for NPI 1053506683 is 3201 Gaines Rd, Corinth, MS 38834-8422. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053506683 issued?

NPI 1053506683 was first issued (enumerated) on 2007-09-06. The NPPES record was last updated on 2025-06-27.

Practice Location Map

Corinth Eye Clinic, Inc is located at 3201 Gaines Rd, Corinth, MS. Use the map below to find directions or verify the practice location.

📍 3201 Gaines Rd, Corinth, MS 38834-8422  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Corinth Eye Clinic, Inc. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053506683. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Optometrist581MS
Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162