Individual provider Active NPI

Tindall Dawkins Morrison, OD

  • Optometrist
  • Starkville, MS
National Provider Identifier
1053833541
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
955 Issued in MS
Practice address
706 Highway 12 W Ste F
Starkville, MS 39759-3573
Phone
(662) 323-0571
NPI assigned
Jul 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 955 MS Primary

Addresses

Primary practice location

706 Highway 12 W Ste F
Starkville, MS 39759-3573

Mailing address

706 Highway 12 W Ste F
Starkville, MS 39759-3573
Phone (662) 323-0571

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
I20180103000549 MS Practitioner - Optometry 5597023127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTM Enterprises, PLLCGroup PAC ID 7911256656, 2 clinicians

Practice addresses (Care Compare)

706 Hwy 12 W
Suite F
Starkville, MS 39759-3573
Phone (662) 323-0571

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
JTM Enterprises, PLLC Optometrist CurrentSince Jul 19, 2018 Accepting new patients
Ford Vision Clinic Optometrist Past Accepting new patients

Locations

706F Highway 12 W
Starkville, MS 39759
Phone (662) 323-0571

706 Highway 12 W
#F
Starkville, MS 39759
Phone (662) 323-0571

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1053833541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 HIGHWAY 12 W STE F",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593573",
            "telephone_number": "662-323-0571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HIGHWAY 12 W STE F",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593573",
            "telephone_number": "662-323-0571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "TINDALL",
        "middle_name": "DAWKINS",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Starkville, MS

Sources for this page

Verify at the official NPI Registry.