Canton Vision Clinic, P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CANTON VISION CLINIC, P.A.

Practice address

1185 Hart St
Canton, MS 39046-4805

Phone

(601) 859-3464

Fax

(601) 859-9003

NPI assigned

Oct 24, 2006

Last updated

Sep 16, 2014By 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. James W Bearden III, ODNPI 1831405448

Title

Owner

Phone

(601) 859-3464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Medicare medical equipment & supply locations

Locations

Practitioners 20

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.

• James W Bearden III, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1831405448
  Medicare reassignment Care Compare group NPD Authorized official
• Andrea Bell

  • Optometrist
  • Canton, MS
  • NPI 1932937497
  Medicare reassignment Care Compare group NPD
• Mary Byrd Garber, OD

  • Optometrist
  • Madison, MS
  • NPI 1831879592
  Medicare reassignment Care Compare group NPD
• Joshua C Massey

  • Optometrist
  • Clinton, MS
  • NPI 1154677136
  Medicare reassignment Care Compare group NPD
• Michael Phillips, O.D.

  • Optometrist
  • Ridgeland, MS
  • NPI 1881884872
  Medicare reassignment Care Compare group NPD
• John Brandon Dawson III, O.D.

  • Optometrist
  • Flowood, MS
  • NPI 1861801631
  Medicare reassignment NPD
• Julie Brewer Dawson

  • Optometrist
  • Madison, MS
  • NPI 1467861484
  Medicare reassignment NPD
• Anh Giang, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1528477692
  Medicare reassignment NPD
• John Benton Lyon, M.D.

  • Specialist
  • Laurel, MS
  • NPI 1336208305
  Medicare reassignment NPD
• Melissa L Rasmussen, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1992011506
  Medicare reassignment NPD
• Thi Bui, O.D.

  • Optometrist
  • Meridian, MS
  • NPI 1063435469
  NPD (past)
• Christopher Bullin, O.D.

  • Optometrist
  • Jackson, MS
  • NPI 1457541450
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1174607477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 HART ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464805",
            "telephone_number": "601-859-3464",
            "fax_number": "601-859-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 HART ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464805",
            "telephone_number": "601-859-3464",
            "fax_number": "601-859-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON VISION CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-859-3464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Canton Family Clinic Inc.
• Canton Ms Opco LLC
• Canton Ms Operating LLC (Madison Court)
• Canton Primary Care Clinic
• Canton Public School District
• Cantons Physician Group
• Capital Emergency Physicians Madison PLLC
• Michael Caples, ED.S.,
• Jessica Carson
• Catx, Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.