Active NPI
Reflections Vision Center
- Optometrist
- Madison, MS
National Provider Identifier
1144586546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 788
- Legal business name
- REFLECTIONS VISION CENTER
- Practice address
- 101-C Lexington Dr.
Madison, MS 39110 - Phone
- (601) 255-5052
- NPI assigned
- Apr 10, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marjorie Lenoir, O.D.
- Title
- Optometrist
- Phone
- (601) 255-5052
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 788 | MS | Primary |
Addresses
Primary practice location
101-C Lexington Dr.
Madison, MS 39110
Mailing address
101-C Lexington Dr.
Madison, MS 39110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04324730 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Lexington Dr
Ste C
Gluckstadt, MS 39110
Phone (601) 255-5052
2129 Grand Ave
Yazoo City, MS 39194
Phone (662) 673-4020
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Madison, MS
- NPI 1154514578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334016000000",
"number": "1144586546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101-C LEXINGTON DR.",
"city": "MADISON",
"state": "MS",
"postal_code": "39110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101-C LEXINGTON DR.",
"city": "MADISON",
"state": "MS",
"postal_code": "39110",
"telephone_number": "601-255-5052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFLECTIONS VISION CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-10",
"last_updated": "2012-04-10",
"status": "A",
"authorized_official_last_name": "LENOIR",
"authorized_official_first_name": "MARJORIE",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "601-255-5052",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04324730",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.