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Export Provider Record NPI 1104039312
Eye Care Associates
Organization Subpart: NO
Active
NPI Number1104039312
NPI TypeNPI-2 Organization
SpecialtyOptometrist
Provider Details
NPI1104039312
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-05-07
Last Updated2008-07-10
Authorized OfficialEdward Davis
OWNER
Phone: 6016491437
Mailing AddressPo Box 648
Laurel, MS 39441-0648
United States
Phone: (601) 649-1437 | Fax: (601) 649-1431
📍 View Map
Primary Practice Address1431 W 10th St
Laurel, MS 39440-2626
United States
Phone: (601) 649-1437 | Fax: (601) 649-1431
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes152W00000X – OptometristMS
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About NPI 1104039312

Eye Care Associates is an organization registered in the CMS NPPES NPI Registry with NPI number 1104039312. The primary specialty listed is Optometrist. The organization is located in Laurel, MS. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-05-07. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1104039312?

NPI 1104039312 belongs to Eye Care Associates, a Optometrist in Laurel, MS. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1104039312 active?

The current status of NPI 1104039312 in the NPPES registry is Active. The record was last updated on 2008-07-10.

What specialty is NPI 1104039312?

NPI 1104039312 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 1104039312?

You can verify NPI 1104039312 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 1104039312?

The primary practice address on file for NPI 1104039312 is 1431 W 10th St, Laurel, MS 39440-2626. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1104039312 issued?

NPI 1104039312 was first issued (enumerated) on 2007-05-07. The NPPES record was last updated on 2008-07-10.

Practice Location Map

Eye Care Associates is located at 1431 W 10th St, Laurel, MS. Use the map below to find directions or verify the practice location.

📍 1431 W 10th St, Laurel, MS 39440-2626  ·  Open in Google Maps ↗

Related Healthcare Providers

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

Data Verified from CMS NPPES Last synced: 2026-06-24 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162