Organization Active NPI

Batesville Vision Clinic

  • Optometrist
  • Batesville, MS
National Provider Identifier
1174635700
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
736 Issued in MS
Legal business name
BATESVILLE VISION CLINIC
Practice address
365 Highway 51 N
Batesville, MS 38606-2311
Phone
(662) 563-9880
Fax
(662) 563-9882
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Dr. Glen H. Stone, O.D.NPI 1992817597
Title
Owner/ Doctor
Phone
(662) 563-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 736 MS Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 535 MS

Addresses

Primary practice location

365 Highway 51 N
Batesville, MS 38606-2311

Mailing address

365 Highway 51 N
Batesville, MS 38606-2311
Phone (662) 563-9880

Other identifiers 1

IdentifierTypeStateIssuer
02152701MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051031000562 MS Part B Supplier - Clinic/Group Practice 4284651001 Receives reassigned benefits from 2 practitioners
Practice locations: Batesville, MS

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Batesville Vision Clinic365 Highway 51 N, Batesville, MS 38606-2311(662) 563-9880 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2008

National Provider Directory

National Provider Directory

Locations

365 Highway 51 N
Batesville, MS 38606
Phone (601) 563-9883

Interoperability endpoints

  • Direct secure messaging: stonetu@batesvillevisionclinic.eyefinity-direct.com
  • Direct secure messaging: bright702@batesvillevisionclinic.eyefinity-direct.com
  • Direct secure messaging: glenhstone@batesvillevisionclinic.eyefinity-direct.com

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1174635700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 HIGHWAY 51 N",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062311",
            "telephone_number": "662-563-9880",
            "fax_number": "662-563-9882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 HIGHWAY 51 N",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062311",
            "telephone_number": "662-563-9880",
            "fax_number": "662-563-9882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BATESVILLE VISION CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER/ DOCTOR",
        "authorized_official_telephone_number": "662-563-9880",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "736",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "535",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02152701",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.