Kelby Warren Flemons, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1054 Issued in MS

Practice address

1206 Mission 66
Vicksburg, MS 39183-3137

Phone

(601) 638-2081

NPI assigned

Jul 20, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Optometry

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Eye Care of Vicksburg PAGroup PAC ID 5698150936, 2 clinicians

Capitaleyes, IncGroup PAC ID 5294904884, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Capitaleyes, Inc

  • Optometrist
  • Clinton, MS
  • NPI 1336427822
  Medicare reassignment Care Compare group NPD
• Southern Eye Care of Vicksburg PA

  • Optometrist
  • Vicksburg, MS
  • NPI 1558089979
  Medicare reassignment Care Compare group NPD
• Collins Eye Clinic Inc

  • Optometrist
  • Vicksburg, MS
  • NPI 1316113616
  NPD (past)

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

{
    "created_epoch": "1658275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1104551571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833137",
            "telephone_number": "601-638-2081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833137",
            "telephone_number": "601-638-2081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLEMONS",
        "first_name": "KELBY",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-20",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "1054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keishondra Surnette Fisher
• Michele Fisher
• Doug Fitzgerald
• Jeanette Flaggs
• Chandar Fleming-Turner
• Flowers Medical Group LLC
• Jonathan Grey Flowers, D.O.
• Sharon Flowers
• Stacy Flowers, PMHNP-BC
• Baleigh Ford, PA-C

• Optometrist in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.