Joseph Caleb Warren, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1076 Issued in MS

Practice address

26 S Main St
Pontotoc, MS 38863-2949

Phone

(662) 489-5907

Fax

(662) 489-6928

NPI assigned

Jul 19, 2023

Last updated

Jul 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

University of Missouri St Louis - School of Optometry, 2023

Medicare assignment

May accept Medicare assignment

Group practices

W T Wood OD PAGroup PAC ID 2769554443, 3 clinicians

Wesson Ophthalmology Associates P.L.L.C.Group PAC ID 1153361282, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.22 of 100Reported as group

Quality

78.44

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• W T Wood OD PA

  • Optometrist
  • Pontotoc, MS
  • NPI 1235300161
  Medicare reassignment Care Compare group NPD
• Wesson Ophthalmology Associates P.L.L.C.

  • Specialist
  • Tupelo, MS
  • NPI 1912958489
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1023798725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632949",
            "telephone_number": "662-489-5907",
            "fax_number": "662-489-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 S MAIN ST",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388632949",
            "telephone_number": "662-489-5907",
            "fax_number": "662-489-6928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JOSEPH",
        "middle_name": "CALEB",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• W T Wood OD PA
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0164)
• Wal-Mart Stores East, LP (Vision Center 30-0164)
• Janice Lee Waller, MED, CMHT
• Andrea J Warren, DO
• David Washington, PT
• Timothy R Watson, FNP-C
• Flavia H West, MD
• Kyle Lyndon White, DPT
• Deborah Traylor Wilmoth, NURSE PRACTITIONER

• Optometrist in Pontotoc, MS
• Providers in Pontotoc, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.

Verify at the official NPI Registry.