NPIMap

Organization Active NPI

Image Optical LLC

  • Ophthalmology Physician
  • Madison, MS
National Provider Identifier
1073938635
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
09309 Issued in MS
Legal business name
IMAGE OPTICAL LLC
Doing business as
Image Optical, LLC
Practice address
501 Baptist Dr Ste 160
Madison, MS 39110-2032
Phone
(601) 790-9820
Fax
(601) 790-9822
NPI assigned
Feb 19, 2014
Last updated
Sep 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Authorized official

Name
Dr. William C. Ashford, M.D.NPI 1588692636
Title
Owner
Phone
(601) 790-9120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 09309 MS Primary

Addresses

Primary practice location

501 Baptist Dr Ste 160
Madison, MS 39110-2032

Mailing address

501 Baptist Dr
Suite 140
Madison, MS 39110-2026
Phone (601) 985-9120

Other names 1

  • Image Optical, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

501 Baptist Dr
Ste 140
Madison, MS 39110
Phone (601) 790-9821

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630454400000",
    "number": "1073938635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR",
            "address_2": "SUITE 140",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102026",
            "telephone_number": "601-985-9120",
            "fax_number": "601-985-9122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BAPTIST DR STE 160",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391102032",
            "telephone_number": "601-790-9820",
            "fax_number": "601-790-9822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMAGE OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-19",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A",
        "authorized_official_last_name": "ASHFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-790-9120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MS",
            "license": "09309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Image Optical, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.