Active NPI
Innovative Vision Solutions, LLC
- Occupational Therapist
- Flora, MS
National Provider Identifier
1154555985
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT1408
- Legal business name
- INNOVATIVE VISION SOLUTIONS, LLC
- Practice address
- 557 First St
Flora, MS 39071-9339 - Phone
- (601) 672-8816
- NPI assigned
- May 7, 2009
- 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
- Mr. Jeffrey Foster, MS, OTR/L
- Title
- Occupational Therapist
- Phone
- (601) 672-8816
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT1408 | MS | Primary |
Addresses
Primary practice location
557 First St
Flora, MS 39071-9339
Mailing address
557 First St
Flora, MS 39071-9339
Phone (601) 672-8816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02131059 | Medicaid | MS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1241654400000",
"number": "1154555985",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "557 FIRST ST",
"city": "FLORA",
"state": "MS",
"postal_code": "390719339",
"telephone_number": "601-672-8816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "557 FIRST ST",
"city": "FLORA",
"state": "MS",
"postal_code": "390719339",
"telephone_number": "601-672-8816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INNOVATIVE VISION SOLUTIONS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-07",
"last_updated": "2009-05-07",
"status": "A",
"authorized_official_last_name": "FOSTER",
"authorized_official_first_name": "JEFFREY",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "601-672-8816",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS, OTR/L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "MS",
"license": "OT1408",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02131059",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flora, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.