Active NPI
Harold A Jefcoat, O. D.
- Optometrist
- Natchez, MS
National Provider Identifier
1013932516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 477
- 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, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Jackson Vamc
- Deshaun Antonio Jackson, DPT
- Hannah James
- Mary James
- Jay H. Schwartz, M.D., P.a.
- Jefferson Comprehensive Health Center, Inc. (JCHC-Gilmer McLaurin Elementary School Based Clinic)
- Jefferson Comprehensive Health Center, Inc. (Adams County Family Health Center)
- Jefferson Comprehensive Health Center, Inc. (School-Based Clinic Adams)
- Jefferson Comprehensive Health Center, Inc. (Natchez High/Middle School Clinic)
- Jefferson Comprehensive Health Center, Inc. (JCHC- Thompson Head Start School Based Clinic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.