20-20 Vision Care Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

20-20 VISION CARE INC

Practice address

100 Airport Rd S
Pearl, MS 39208-6654

Phone

(601) 939-3753

Fax

(601) 939-6586

NPI assigned

Dec 22, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. J Minor Pace, O.D.NPI 1447315254

Title

President

Phone

(601) 939-3753

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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.

• J Minor Pace, O.D.

  • Optometrist
  • Pearl, MS
  • NPI 1447315254
  Medicare reassignment Care Compare group NPD Authorized official
• Jeffery Martin Pace, OD

  • Optometrist
  • Pearl, MS
  • NPI 1518631365
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203638400000",
    "number": "1033274758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD S",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086654",
            "telephone_number": "601-939-3753",
            "fax_number": "601-939-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD S",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086654",
            "telephone_number": "601-939-3753",
            "fax_number": "601-939-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "20-20 VISION CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-02-22",
        "status": "A",
        "authorized_official_last_name": "PACE",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "MINOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-939-3753",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015539",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 360 Healthcare Clinic
• Adams Home Care
• Tammie Jo Adams, RN-BSN, MBA
• Oluwarotimi A Adepoju, MD
• Chelsea Aldridge, RN, BSN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.