Active NPI
Nuvision
- Eyewear Supplier
- Ridgeland, MS
National Provider Identifier
1003087669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- NUVISION
- Practice address
- 134 Dyess Rd
Ridgeland, MS 39157-4410 - Phone
- (601) 952-0070
- Fax
- (601) 952-0076
- NPI assigned
- Mar 21, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shaunta Nicole Todd
- Title
- Owner
- Phone
- (601) 952-0070
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
134 Dyess Rd
Ridgeland, MS 39157-4410
Mailing address
134 Dyess Rd
Ridgeland, MS 39157-4410
Phone (601) 952-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04923053 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
134 Dyess Rd
Ridgeland, MS 39157
Phone (601) 952-0070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1389139200000",
"number": "1003087669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "134 DYESS RD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574410",
"telephone_number": "601-952-0070",
"fax_number": "601-952-0076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 DYESS RD",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391574410",
"telephone_number": "601-952-0070",
"fax_number": "601-952-0076"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NUVISION",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-21",
"last_updated": "2014-01-08",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "SHAUNTA",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-952-0070"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04923053",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ridgeland, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.