Katie Stuckey Amann, OD
Individual provider Active NPI Optometrist · Oxford, MS
NPI 1053935023 · NPPES record last updated Apr 8, 2025
Key facts
- NPI
- 1053935023
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1013 (MS)
- Practice address
- 1628 Highway 30 E
Oxford, MS 38655-2319 - Phone
- (662) 234-3937
- Fax
- (662) 234-3898
- NPI assigned
- Jun 4, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ms Eye Consultants LLC
Practice addresses (Care Compare)
1628 Hwy 30 E
Mississippi Eye Consultants
Oxford, MS 38655-2319
Phone (662) 234-3937
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.93 of 100
- Quality
- 97.87
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201030001027 | MS | Practitioner - Optometry | 8224448311 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Eye Consultants LLC | Optometrist | Current |
Accepting new patients |
| Ms Eye Surgery, PLLC | Past |
Accepting new patients | |
| Optical 2000 of Flora PA | Optometrist | Past |
Accepting new patients |
Locations
1628 Highway 30 E
Oxford, MS 38655
Phone (662) 234-3937
1413 W Main St
Ste A
Tupelo, MS 38801
Phone (662) 205-4654
Interoperability endpoints
- kstuckey@mseye2020.intellechartdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1013 | MS | Yes |
Addresses
Primary practice location
1628 Highway 30 E
Oxford, MS 38655-2319
Mailing address
PO Box 1520
Oxford, MS 38655-1520
Phone (662) 234-3937
Other providers in Oxford, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 8, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.