Individual provider Active NPI

Harold A Jefcoat, O. D.

  • Optometrist
  • Natchez, MS
National Provider Identifier
1013932516
Registry record updated Mar 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
477 Issued in MS
Practice address
29 SGT Prentiss Dr Ste 6
Natchez, MS 39120-4743
Phone
(601) 442-4354
NPI assigned
Jul 13, 2006
Last updated
Mar 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 477 MS Primary
Occupational Vision Optometrist 152WX0102X 477 MS

Addresses

Primary practice location

29 SGT Prentiss Dr Ste 6
Natchez, MS 39120-4743

Mailing address

29 SGT Prentiss Dr Ste 6
Natchez, MS 39120-4743
Phone (601) 442-4354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000149 MS Practitioner - Optometry 1355538489 Practice locations: Natchez, MS

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

314 Seargent Dr
Natchez, MS 39120-4224
Phone (601) 870-9758

314 SGT Prentiss Dr
Natchez, MS 39120-4224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331769600000",
    "number": "1013932516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 SGT PRENTISS DR STE 6",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204743",
            "telephone_number": "601-442-4354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 SGT PRENTISS DR STE 6",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204743",
            "telephone_number": "601-442-4354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFCOAT",
        "first_name": "HAROLD",
        "middle_name": "A",
        "credential": "O. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "477",
            "primary": true
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "MS",
            "license": "477",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.