Organization Active NPI

Total Eye Care PC

  • Optometrist
  • Fulton, MS
National Provider Identifier
1003990193
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
669 Issued in MS
Legal business name
TOTAL EYE CARE PC
Practice address
1310 E. Walker St.
Fulton, MS 38843
Phone
(662) 862-6727
Fax
(662) 862-7969
NPI assigned
Oct 25, 2006
Last updated
Apr 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Steve Beaty, O.D.NPI 1043394208
Title
Dr.
Phone
(662) 862-6727

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 669 MS Primary

Addresses

Primary practice location

1310 E. Walker St.
Fulton, MS 38843

Mailing address

PO Box 356
1310 E. Walker St.
Fulton, MS 38843-0356
Phone (662) 862-6727

Other identifiers 1

IdentifierTypeStateIssuer
00880181MedicaidMS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1003990193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "address_2": "1310 E. WALKER ST.",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "388430356",
            "telephone_number": "662-862-6727",
            "fax_number": "662-862-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 E. WALKER ST.",
            "city": "FULTON",
            "state": "MS",
            "postal_code": "38843",
            "telephone_number": "662-862-6727",
            "fax_number": "662-862-7969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "BEATY",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DR.",
        "authorized_official_telephone_number": "662-862-6727",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880181",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.