OrganizationActive
Indianola Eye Clinic PA
NPI 1578730800 · Optometrist · Indianola, MS
Indianola Eye Clinic PA is a Optometrist organization in Indianola, MS (NPI 1578730800).
Provider details
- NPI number
- 1578730800
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Wilburn Lord, President(662) 332-0163
- License
- 460 (MS)
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
224 Virginia St
Indianola, MS 38751-2221
Phone: (662) 887-3671
Fax: (662) 887-3675
Street-level locationGet directions
Mailing address
239 S. Washington Ave.
Greenville, MS 38704
Other names (DBA / former)
- Doing business as
- Delta Eye Center
Registry dates
- Enumerated
- 2008-05-15
- Last updated
- 2008-05-15
Frequently asked questions
- What is Indianola Eye Clinic PA's NPI number?
- Indianola Eye Clinic PA's National Provider Identifier (NPI) is 1578730800, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Indianola Eye Clinic PA?
- Indianola Eye Clinic PA is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Indianola Eye Clinic PA located?
- Indianola Eye Clinic PA's practice location on file with NPPES is 224 Virginia St, Indianola, MS 38751-2221.
- What is Indianola Eye Clinic PA's phone number?
- The practice phone number listed in the NPPES registry for Indianola Eye Clinic PA is (662) 887-3671.
- Who is the authorized official for Indianola Eye Clinic PA?
- The authorized official listed on Indianola Eye Clinic PA's NPPES record is Wilburn Lord, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Indianola Eye Clinic PA's NPI active?
- Yes — Indianola Eye Clinic PA's NPI (1578730800) is active in the NPPES registry as of the last update on 2008-05-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.