Coccia Vision Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

739 Issued in MS

Legal business name

COCCIA VISION CARE

Practice address

100 McCord Road
Pontotoc, MS 38863

Phone

(662) 488-9021

Fax

(662) 488-9022

NPI assigned

Jan 19, 2007

Last updated

Oct 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas Ryan Coccia, O.D.NPI 1134272420

Title

President

Phone

(662) 488-9021

Specialties & licenses 1

Addresses

Other identifiers 4

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.

• Thomas Ryan Coccia, O.D.

  • Optometrist
  • Charlotte, NC
  • NPI 1134272420
  NPD (past) Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288137600000",
    "number": "1144373473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 SCENIC CV",
            "city": "SALTILLO",
            "state": "MS",
            "postal_code": "388667950",
            "telephone_number": "662-648-9285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCCORD ROAD",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "38863",
            "telephone_number": "662-488-9021",
            "fax_number": "662-488-9022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCCIA VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2010-10-27",
        "status": "A",
        "authorized_official_last_name": "COCCIA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-488-9021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04775008",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "54185",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "42631",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "MS0739",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris Park DO PC (Park Medical Clinic)
• Clayton Family Dentistry, PLLC
• Anna Grace Clayton, DMD
• Matthew Carter Clayton, DMD
• Pamela Dianne Clegg-Alderman, FNP-BC
• Traci A Cox, NP
• Brett Tyler Dillard, B.S.W.
• Steven Nicholas Dirmeyer, M.D.
• Enduracare Acute Care Services LLC (EnduraCare Pontotoc)
• Tabatha Enis, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2010; 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.