Provider Demographics
NPI:1801522495
Name:PATTERSON, EMILY CARTER (OD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:CARTER
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 HIGHWAY 16 E
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:MS
Mailing Address - Zip Code:39051-4203
Mailing Address - Country:US
Mailing Address - Phone:601-267-9351
Mailing Address - Fax:601-267-9004
Practice Address - Street 1:201 HIGHWAY 16 E
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:MS
Practice Address - Zip Code:39051-4203
Practice Address - Country:US
Practice Address - Phone:601-267-9351
Practice Address - Fax:601-267-9004
Is Sole Proprietor?:No
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1060152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist