Organization Active NPI

Innovative Vision Solutions, LLC

  • Occupational Therapist
  • Flora, MS
National Provider Identifier
1154555985
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT1408 Issued in MS
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

Updated by the provider on May 7, 2009

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
02131059MedicaidMS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.