NPIMap

Organization Active NPI

Ms Eye Care PA

Doing business as Mississippi Eye Care Macon

  • Optometrist
  • Macon, MS
National Provider Identifier
1184737017
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
517 Issued in MS
Legal business name
MS EYE CARE PA
Doing business as
Mississippi Eye Care Macon
Noxubee Eye Care
Practice address
3027 Jefferson St
Macon, MS 39341-2275
Phone
(662) 726-6111
Fax
(662) 726-6110
NPI assigned
Aug 16, 2006
Last updated
Aug 13, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MS EYE CARE PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Authorized official

Name
Jacob Ivey, OD
Title
OD/Owner
Phone
(662) 446-9000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 517 MS Primary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 762 MS
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 560 MS

Addresses

Primary practice location

3027 Jefferson St
Macon, MS 39341-2275

Mailing address

14994 W. Main St
Louisville, MS 39339-2616
Phone (662) 446-9000

Other identifiers 1

IdentifierTypeStateIssuer
05208871MedicaidMS

Other names 2

  • Mississippi Eye Care Macon Doing business as
  • NOXUBEE EYE CARE Doing business as

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2112303Noxubee Eye Care3027 Jefferson St, Macon, MS 39341Certificate of waiverOct 11, 2026

National Provider Directory

National Provider Directory
Tax ID family
Ms Eye Care PA12 organizations share this tax ID, including this one
Part of
Ms Eye Care PA

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786579200000",
    "number": "1184737017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14994 W. MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-446-9000",
            "fax_number": "662-779-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 JEFFERSON ST",
            "city": "MACON",
            "state": "MS",
            "postal_code": "393412275",
            "telephone_number": "662-726-6111",
            "fax_number": "662-726-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS EYE CARE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MS EYE CARE PA",
        "enumeration_date": "2006-08-16",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "662-446-9000",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "517",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "762",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "560",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05208871",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mississippi Eye Care Macon",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NOXUBEE EYE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Macon, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.