Kathryn M Mccullough in Tupelo - Optometrist
Kathryn M Mccullough - NPI 1558542779
Kathryn M Mccullough is a Optometrist in Tupelo, Mississippi. Kathryn M Mccullough practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kathryn M Mccullough is 1558542779. The last update date is 2021-11-11.
Kathryn M Mccullough's current location address is 1525 Larkspur Pl, Tupelo, Mississippi. You can contact this provider via phone number 6628404624 and fax number 6628409426. The mailing address for Kathryn M Mccullough is 1525 Larkspur Pl, Tupelo, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathryn M Mccullough |
|---|---|
| Address | 1525 Larkspur Pl, Tupelo, Mississippi |
| Phone Number | 6628404624 |
| Fax Number | 6628409426 |
| Sole Proprietor | Y |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1558542779 |
|---|---|
| Provider Enumeration Date | 2007-11-15 |
| Last Updated Date | 2021-11-11 |
Provider Mailing Address Detail
| Address | 1525 Larkspur Pl |
|---|---|
| City | Tupelo |
| State | Mississippi (MS) |
| Post Code | 388016976 |
| Phone Number | 6628404624 |
| Fax Number | 6628409426 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 483 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3888791 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Kathryn M Mccullough by the Centers for Medicare & Medicaid Services?
The Kathryn M Mccullough has been issued the NPI (National Provider Identifier) 1558542779. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kathryn M Mccullough?
The Kathryn M Mccullough is situated at 1525 Larkspur Pl, in the city of Tupelo, state of MS, with the zip code 388016976.
What is Kathryn M Mccullough's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kathryn M Mccullough is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Kathryn M Mccullough receive its 1558542779 assignment from the Centers for Medicare & Medicaid Services?
The Kathryn M Mccullough was assigned its 1558542779 by the Centers for Medicare & Medicaid Services on 2007-11-15.
When was the information regarding Kathryn M Mccullough most recently updated?
The details pertaining to the Kathryn M Mccullough, including its address, specialty, and other relevant information, were last refreshed on 2021-11-11.