Individual provider Active NPI

Joshua C Massey

  • Optometrist
  • Clinton, MS
National Provider Identifier
1154677136
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
854 Issued in MS
Practice address
929 Highway 80 E
Clinton, MS 39056-5246
Phone
(601) 924-7274
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 854 MS Primary

Addresses

Primary practice location

929 Highway 80 E
Clinton, MS 39056-5246

Mailing address

929 Highway 80 E
Clinton, MS 39056-5246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000779 MS Practitioner - Optometry 6800045378 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brandon Professional Eyecare Associates IncGroup PAC ID 2860714391, 4 clinicians
Canton Vision Clinic, PAGroup PAC ID 5799782629, 5 clinicians
Madison Professional Eyecare Associates IncGroup PAC ID 1052319118, 8 clinicians
Professional Eyecare Associates IncGroup PAC ID 0941103782, 5 clinicians

Practice addresses (Care Compare)

110 Highpointe CT
Brandon, MS 39042-7016
Phone (601) 825-8300

1185 Hart St
Canton, MS 39046-4805
Phone (601) 859-3464

228 Garden Park Dr
Madison, MS 39110-5505
Phone (601) 605-2259

6704 Old Canton Rd
Ridgeland, MS 39157-1225
Phone (601) 957-9292

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Professional Eyecare Associates, Inc Optometrist CurrentSince Jul 8, 2019 Accepting new patients
Professional Eyecare Associates ,Inc Optometrist CurrentSince Jul 8, 2019 Accepting new patients
Brandon Professional Eyecare Associates, Inc. Optometrist CurrentSince Jul 8, 2019 Accepting new patients
Canton Vision Clinic, P.a. Optometrist CurrentSince Jul 8, 2019 Accepting new patients
Professional Eyecare Associates of Yazoo City, PA Optometrist CurrentSince Jul 8, 2019 Accepting new patients

Locations

1390 W Government St
Ste C
Brandon, MS 39042
Phone (601) 825-8300

1185 Hart St
Canton, MS 39046
Phone (601) 859-3464

224 Waterford Sq
Madison, MS 39110
Phone (601) 605-2259

228 Garden Park Dr
Madison, MS 39110
Phone (601) 605-2259

6704 Old Canton Rd
Ridgeland, MS 39157
Phone (601) 957-9292

728 E Fifteenth St
Yazoo City, MS 39194
Phone (662) 332-3325

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1154677136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390565246",
            "telephone_number": "601-924-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSEY",
        "first_name": "JOSHUA",
        "middle_name": "C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

Verify at the official NPI Registry.