Organization Active NPI

Ms Eye Consultants LLC

  • Ophthalmology Physician
  • Oxford, MS
National Provider Identifier
1154877090
Registry record updated Mar 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MS EYE CONSULTANTS LLC
Practice address
1628 Highway 30 East
Oxford, MS 38655
Phone
(662) 234-3937
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2021

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

Authorized official

Name
Hannah Mayo
Title
Authorized Official
Phone
(662) 234-3937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

1628 Highway 30 East
Oxford, MS 38655

Mailing address

PO Box 1520
Oxford, MS 38655-1520

Other practice location 1

1413 W Main St Ste A
Tupelo, MS 38801-3451
Phone (662) 260-5252

Other names 1

  • Mississippi Eye Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161212001978 MS Part B Supplier - Clinic/Group Practice 1658651567 Receives reassigned benefits from 5 practitioners
Practice locations: Oxford, MS; Tupelo, MS

National Provider Directory

National Provider Directory

Locations

1628 Highway 30 E
Oxford, MS 38655
Phone (662) 234-3937

1413 W Main St
Ste A
Tupelo, MS 38801
Phone (662) 205-4654

Interoperability endpoints

  • Direct secure messaging: ltaylor@mseye2020.intellechartdirect.net
  • Direct secure messaging: kstuckey@mseye2020.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617148800000",
    "number": "1154877090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1520",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1628 HIGHWAY 30 EAST",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "38655",
            "telephone_number": "662-234-3937"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1413 W Main St Ste A",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "388013451",
            "country_code": "US",
            "telephone_number": "662-260-5252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MS EYE CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2021-03-31",
        "certification_date": "2021-03-08",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "HANNAH",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "662-234-3937"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mississippi Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; 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.