Northeast Eye Care PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

523 Issued in MS

Legal business name

NORTHEAST EYE CARE PA

Practice address

111 Colony Crossing Way
Ste 220
Madison, MS 39110-7778

Phone

(601) 605-4402

Fax

(601) 605-4457

NPI assigned

Sep 1, 2015

Last updated

Dec 22, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hal E Hill Jr., O.D.NPI 1790841393

Title

Owner

Phone

(601) 605-4402

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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.

• Hal E Hill Jr., O.D.

  • Optometrist
  • Madison, MS
  • NPI 1790841393
  Medicare reassignment Care Compare group NPD Authorized official
• William Leslie Arnold, O,D,

  • Optometrist
  • Madison, MS
  • NPI 1790175479
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450742400000",
    "number": "1154798692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COLONY CROSSING WAY",
            "address_2": "STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107778",
            "telephone_number": "601-605-4402",
            "fax_number": "601-605-4457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COLONY CROSSING WAY",
            "address_2": "STE 220",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107778",
            "telephone_number": "601-605-4402",
            "fax_number": "601-605-4457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST EYE CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-12-22",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "HAL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-605-4402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaux Antoine Nelms, AU.D.
• Newcare MD, LLC
• Clara Newton, MS, PLPC, NCC
• Lam Thi Nguyen
• Stephen Randall Norman, RPH
• Kaitlyn Norton, PLPC
• Nuvena Vein Clinic
• Cheri L Nyegaard Holbrook, LCSW
• Ochsner Mississippi, LLC (Ochsner Specialty Health Center - Madison)
• Ochsner Mississippi, LLC (OCMC Pediatric Orthopedics)

• Optometrist in Madison, MS
• Providers in Madison, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.