Individual provider Active NPI

Ashley Burns, OD

  • Optometrist
  • Biloxi, MS
National Provider Identifier
1184040172
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
893 Issued in MS
Practice address
715A Division St
Biloxi, MS 39530-2209
Phone
(228) 374-4991
Fax
(228) 374-3566
NPI assigned
Mar 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 893 MS Primary

Addresses

Primary practice location

715A Division St
Biloxi, MS 39530-2209

Mailing address

PO Box 475
Biloxi, MS 39533-0475
Phone (228) 374-2494

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
I20140528000987 MS Practitioner - Optometry 2163645888 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greene Area Medical Extenders IncGroup PAC ID 0547174096, 5 clinicians
Coastal Family Health Center, IncGroup PAC ID 8628989654, 48 clinicians

Practice addresses (Care Compare)

1616 Williams Dr
Leakesville, MS 39451-5622

715 A Division St
Biloxi, MS 39530-2209
Phone (229) 374-4991

735 Division St
Biloxi, MS 39530-2209
Phone (228) 386-1190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
893MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Family Health Center, Inc CurrentSince Apr 4, 2014 Accepting new patients
Coastal Family Health Center, Inc Current Accepting new patients
Coastal Family Health Center, Inc CurrentSince Apr 4, 2014 Accepting new patients
Coastal Family Health Center, Inc Past Accepting new patients

Locations

715A Division St
Biloxi, MS 39530
Phone (228) 374-4991

1046 Division St
Biloxi, MS 39530
Phone (225) 374-2494

15024 Mlk
Gulfport, MS 39501
Phone (228) 846-0003

1616 Williams Dr
Leakesville, MS 39451
Phone (601) 394-2381

Interoperability endpoints

  • Direct secure messaging: ashley.anderson@direct.cfhc.nextgenshare.com

Organizations & group practices 4

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": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601510400000",
    "number": "1184040172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 475",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395330475",
            "telephone_number": "228-374-2494",
            "fax_number": "228-374-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715A DIVISION ST",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395302209",
            "telephone_number": "228-374-4991",
            "fax_number": "228-374-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURNS",
        "first_name": "ASHLEY",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

Verify at the official NPI Registry.