Active NPI
Charlsey Felder
- Optometrist
- Madison, MS
National Provider Identifier
1093638728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1133
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Madison Professional Eyecare Associates, Inc | Optometrist | Past | 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.
-
- Optometrist
- Madison, MS
- NPI 1144304460
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.