NPIMap

Organization Active NPI

Mississippi Eyecare Associates of Pearl, PLLC

  • Optometrist
  • Pearl, MS
National Provider Identifier
1013256411
Registry record updated Aug 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
783 Issued in MS
Legal business name
MISSISSIPPI EYECARE ASSOCIATES OF PEARL, PLLC
Practice address
404 Riverwind Dr
Ste B1
Pearl, MS 39208-5900
Phone
(601) 366-9020
Fax
(601) 321-3979
NPI assigned
Feb 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2014

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

Authorized official

Name
Ms. Amanda Guidry
Title
Office Manager
Phone
(601) 366-9020

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 783 MS Primary
Eyewear Supplier 332H00000X 783 MS

Addresses

Primary practice location

404 Riverwind Dr
Ste B1
Pearl, MS 39208-5900

Mailing address

404 Riverwind Dr
Ste B1
Pearl, MS 39208-5900
Phone (601) 366-9020

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408060800000",
    "number": "1013256411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 RIVERWIND DR",
            "address_2": "STE B1",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085900",
            "telephone_number": "601-366-9020",
            "fax_number": "601-321-3979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 RIVERWIND DR",
            "address_2": "STE B1",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392085900",
            "telephone_number": "601-366-9020",
            "fax_number": "601-321-3979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSISSIPPI EYECARE ASSOCIATES OF PEARL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2014-08-15",
        "status": "A",
        "authorized_official_last_name": "GUIDRY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "601-366-9020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "783",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "MS",
            "license": "783",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.

Verify at the official NPI Registry.