Ophthalmic Plastic Surgery Specialists PLLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC

Practice address

1421 North State St
Ste 304
Jackson, MS 39202

Phone

(601) 355-9537

Fax

(601) 355-6893

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. David Ronald Segrest, MD

Title

Owner

Phone

(601) 355-9537

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• David Franklin Jones, M.D.

  • Ophthalmology Physician
  • Jackson, MS
  • NPI 1295955672
  Medicare reassignment NPD
• Kyle Lewis, M. D.

  • Ophthalmic Plastic and Reconstructive Surgery Physician
  • Jackson, MS
  • NPI 1902017924
  Medicare reassignment NPD

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1053410126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 NORTH STATE ST",
            "address_2": "STE 304",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-355-9537",
            "fax_number": "601-355-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 NORTH STATE ST",
            "address_2": "STE 304",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39202",
            "telephone_number": "601-355-9537",
            "fax_number": "601-355-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMIC PLASTIC SURGERY SPECIALISTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "SEGREST",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-355-9537",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DC7890",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00580070",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Onyxcare Diagnostics, LLC
• Onyxcare Health
• Open Arms
• Open Arms Healthcare Center
• Open Arms Personal Care Home
• Optimal Health and Wellness Clinic, PLLC
• Optimum Health Institute
• Optimum Healthcare Associates, PA
• Optimum Personal Care & Sitters
• Optimum Personal Care & Sitters, Inc.

• Ophthalmology Physician in Jackson, MS
• Providers in Jackson, MS by specialty
• Ophthalmology Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.