Active NPI
Neil Simmons, O.D.
- Optometrist
- Carthage, MS
National Provider Identifier
1104937556
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 563
- Practice address
- 110 N Van Buren St
Carthage, MS 39051-4126 - Phone
- (601) 267-7777
- Fax
- (601) 267-7774
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 563 | MS | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 563 | MS | |
| Occupational Vision Optometrist | 152WX0102X | 563 | MS | |
| Pediatric Optometrist | 152WP0200X | 563 | MS | |
| Sports Vision Optometrist | 152WS0006X | 563 | MS |
Addresses
Primary practice location
110 N Van Buren St
Carthage, MS 39051-4126
Mailing address
110 N Van Buren St
Carthage, MS 39051-4126
Phone (601) 267-7777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00880215 | Medicaid | MS |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 563 | MS | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ms Eye Care, PA | Optometrist | Current | Accepting new patients |
| Ms Eye Care PA | Optometrist | Current | Accepting new patients |
Locations
110 N Van Buren St
Carthage, MS 39051
Phone (601) 267-7772
5002 Highway 39 N
Bldg B
Meridian, MS 39301
Phone (601) 483-7331
Organizations & group practices 2
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
- Meridian, MS
- NPI 1639530454
-
- Optometrist
- Eupora, MS
- NPI 1356238943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210032000000",
"number": "1104937556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N VAN BUREN ST",
"city": "CARTHAGE",
"state": "MS",
"postal_code": "390514126",
"telephone_number": "601-267-7777",
"fax_number": "601-267-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N VAN BUREN ST",
"city": "CARTHAGE",
"state": "MS",
"postal_code": "390514126",
"telephone_number": "601-267-7777",
"fax_number": "601-267-7774"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "NEIL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2008-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "563",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MS",
"license": "563",
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "MS",
"license": "563",
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MS",
"license": "563",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "MS",
"license": "563",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00880215",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carthage, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.