Individual provider Active NPI

Charlsey Felder

  • Optometrist
  • Madison, MS
National Provider Identifier
1093638728
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1133 Issued in MS
Practice address
228 Garden Park Dr
Madison, MS 39110-5505
Phone
(601) 605-2259
NPI assigned
Jul 31, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1133 MS Primary

Addresses

Primary practice location

228 Garden Park Dr
Madison, MS 39110-5505

Mailing address

207 Lake Crest Dr
Madison, MS 39110-1226

Other practice location 1

728 E Fifteenth St
Yazoo City, MS 39194-2706
Phone (662) 746-4312

Other practice location 2

110 Garden Dr
Brandon, MS 39042
Phone (601) 825-8300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Professional Eyecare Associates, Inc Optometrist PastSince Sep 21, 2010 Accepting new patients

Organizations & group practices 1

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": "1785456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1093638728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 LAKE CREST DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391101226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 GARDEN PARK DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391105505",
            "telephone_number": "601-605-2259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 E Fifteenth St",
            "address_purpose": "LOCATION",
            "city": "Yazoo City",
            "state": "MS",
            "postal_code": "391942706",
            "country_code": "US",
            "telephone_number": "662-746-4312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Garden Dr",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "MS",
            "postal_code": "39042",
            "country_code": "US",
            "telephone_number": "601-825-8300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELDER",
        "first_name": "CHARLSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-31",
        "last_updated": "2026-07-31",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2026; 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.