Provider Demographics
NPI:1770901654
Name:EYE CARE ASSOCIATES
Entity type:Organization
Organization Name:EYE CARE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMOTRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HATFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-205-4654
Mailing Address - Street 1:2005 W MAIN ST
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TUPELO
Mailing Address - State:MS
Mailing Address - Zip Code:38801-3214
Mailing Address - Country:US
Mailing Address - Phone:662-205-4654
Mailing Address - Fax:662-205-4669
Practice Address - Street 1:2005 W MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38801-3214
Practice Address - Country:US
Practice Address - Phone:662-205-4654
Practice Address - Fax:662-205-4669
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-28
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty