ROUTT EYE CLINIC NPI 1942487558

NPI Information

  • NPI: 1942487558
  • Provider Name: ROUTT EYE CLINIC
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • CLIA Number: 25D2049743
  • Address: 107 S NATCHEZ ST
    KOSCIUSKO, MS
    ZIP 39090
  • Phone: (662) 289-4131

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NPI Details

ROUTT EYE CLINIC is an optometrist in Kosciusko, MS. The provider is 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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. ROUTT EYE CLINIC NPI is 1942487558. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

107 S NATCHEZ ST
KOSCIUSKO, MS
ZIP 39090-741
Phone: (662) 289-4131
Fax: (662) 289-5348

The provider's authorized official is Lawrence Adrian Routt .
The authorized official title is Optometrist and has the following contact phone number (662) 289-4131.

The CLIA number assigned to this NPI record is 25D2049743 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/25/2008 and was last updated on 1/25/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist471MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100087888MEDICAIDMISSISSIPPI
20518690001MEDICARE NSCMISSISSIPPI
3T-21293MEDICARE UPINMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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