Obreineyecare

Primary specialty

OptometristTaxonomy code 152W00000X

License

426 Issued in MS

Legal business name

OBREINEYECARE

Practice address

354 Stateline Rd W
Southaven, MS 38671-1610

Phone

(662) 647-8707

Fax

(662) 647-8706

NPI assigned

Dec 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David V Obrien, OD

Title

Owner

Phone

(662) 647-8707

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197331200000",
    "number": "1144388539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 STATELINE RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711610",
            "telephone_number": "662-647-8707",
            "fax_number": "662-647-8706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 STATELINE RD W",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711610",
            "telephone_number": "662-647-8707",
            "fax_number": "662-647-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBREINEYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2007-12-11",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-647-8707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "426",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087700",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gregory Pearce Norwood, D.O.
• Larualee Fant Nowell, CCC-SLP
• April Nunnally, PHARMD
• Nurseplugconnect PLLC
• Jennifer M O'Bryan, MD
• Obrien Vision Center, P.a.
• Michael Edward Obrien, O.D.
• Angela Oigbokie
• Karleke T Oliver, LMSW
• Omega Hospice, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.