CROSSROAD EYE CENTER LLC – NPI #1306869235
Ophthalmology

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.

CROSSROAD EYE CENTER LLC is an ophthalmologist located in CORINTH, MS. NPPES has assigned the NPI number 1306869235 to CROSSROAD EYE CENTER LLC on July 25, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was previously updated about 18 years ago on Mar 18, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CROSSROAD EYE CENTER LLC below.

NPI Profile for
CROSSROAD EYE CENTER LLC

NPI Number
1306869235
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CROSSROAD EYE CENTER LLC
Primary location
3035 CORDER DR
CORINTH, MS 38834-6216
Phone: (662) 286-9292 Fax: (662) 286-9293
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DARWIN WOOTEN
OWNER/PHYSICIAN
Phone: (662) 286-9292
Updated
Identifiers

Identifiers for CROSSROAD EYE CENTER LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMS00122436
MEDICAIDMS01087285
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207W00000X
- Ophthalmology (Primary)
MS 16628

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.