Active NPI
Ramonica Lewis, O.D.
- Optometrist
- Clinton, MS
National Provider Identifier
1154412534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 703
- Practice address
- 950 Highway 80 E
Clinton, MS 39056-5203 - Phone
- (601) 924-7882
- Fax
- (601) 924-7883
- NPI assigned
- Sep 28, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 703 | MS | Primary |
Addresses
Primary practice location
950 Highway 80 E
Clinton, MS 39056-5203
Mailing address
126 Devlin Springs Dr
Madison, MS 39110-6549
Phone (601) 278-1445
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00237390 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 703 | MS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1154412534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "126 DEVLIN SPRINGS DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391106549",
"telephone_number": "601-278-1445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 HIGHWAY 80 E",
"city": "CLINTON",
"state": "MS",
"postal_code": "390565203",
"telephone_number": "601-924-7882",
"fax_number": "601-924-7883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "RAMONICA",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "703",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00237390",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clinton, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.