Provider Demographics
NPI:1275645889
Name:BRIGHT, SANDRA LYNN (OD)
Entity type:Individual
Prefix:DR
First Name:SANDRA
Middle Name:LYNN
Last Name:BRIGHT
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 1:102 HIGHWAY 51 N
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38606-2347
Mailing Address - Country:US
Mailing Address - Phone:662-210-6004
Mailing Address - Fax:
Practice Address - Street 1:102 HIGHWAY 51 N
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:MS
Practice Address - Zip Code:38606-2347
Practice Address - Country:US
Practice Address - Phone:662-210-6004
Practice Address - Fax:662-563-9882
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS736156FC0801X, 156FX1100X, 152W00000X, 152WP0200X, 152WS0006X, 156FC0800X, 152WX0102X
MS736P-Y152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
No156FX1100XEye and Vision Services ProvidersTechnician/TechnologistOphthalmic
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
Provider Identifiers
StateIdentifier IDID TypeIssuer
MSP00442834OtherRAILROAD MEDICARE PTAN
MS03771729Medicaid
MSP00442834OtherRAILROAD MEDICARE PTAN
MS03771729Medicaid