NPIMap

Organization Active NPI

Irving Eye Care LLC

  • Optometrist
  • Ridgeland, MS
National Provider Identifier
1134522576
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
836 Issued in MS
Legal business name
IRVING EYE CARE LLC
Practice address
1200 E County Line Rd
Ste 166
Ridgeland, MS 39157-1949
Phone
(601) 957-6078
Fax
(601) 957-6924
NPI assigned
Sep 30, 2014
Last updated
May 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2015

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

Authorized official

Name
Dr. Quatrisa Irving, O.D.NPI 1821274648
Title
Owner / Physician
Phone
(601) 957-6078

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 836 MS Primary

Addresses

Primary practice location

1200 E County Line Rd
Ste 166
Ridgeland, MS 39157-1949

Mailing address

1200 E County Line Rd
Ste 166
Ridgeland, MS 39157-1949
Phone (601) 957-6078

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432252800000",
    "number": "1134522576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E COUNTY LINE RD",
            "address_2": "STE 166",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571949",
            "telephone_number": "601-957-6078",
            "fax_number": "601-957-6924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COUNTY LINE RD",
            "address_2": "STE 166",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571949",
            "telephone_number": "601-957-6078",
            "fax_number": "601-957-6924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-05-22",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "QUATRISA",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "601-957-6078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; 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.