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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Flora, MS
- NPI 1487700837
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": "",
"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.