Individual provider Active NPI

Patricia R O'Kelley-Hughes, O.D.

  • Optometrist
  • Ocean Springs, MS
National Provider Identifier
1194765776
Registry record updated Aug 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OD000001839 Issued in TN
Practice address
2510 Bienville Blvd
Ocean Springs, MS 36564
Phone
(228) 875-3318
Fax
(228) 875-3398
NPI assigned
Jun 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OD000001839 TN Primary

Addresses

Primary practice location

2510 Bienville Blvd
Ocean Springs, MS 36564

Mailing address

2510 Bienville Blvd
Ocean Springs, MS 36564
Phone (228) 875-3318

Other identifiers 3

IdentifierTypeStateIssuer
751OtherMSMISSISSIPPI
05402731MedicaidMS
4109983OtherTNBCBS

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
I20060829000117 MS Practitioner - Optometry 6608829528 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OD000001839TNMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Brown Eyed Girls PLLC Optometrist CurrentSince Dec 4, 2023 Accepting new patients

Locations

3430 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 875-3318

2510 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 875-3318

Organizations & group practices 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376179200000",
    "number": "1194765776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "36564",
            "telephone_number": "228-875-3318",
            "fax_number": "228-875-3398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 BIENVILLE BLVD",
            "city": "OCEAN SPRINGS",
            "state": "MS",
            "postal_code": "36564",
            "telephone_number": "228-875-3318",
            "fax_number": "228-875-3398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'KELLEY-HUGHES",
        "first_name": "PATRICIA",
        "middle_name": "R",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-08",
        "last_updated": "2013-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "OD000001839",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSISSIPPI",
            "identifier": "751",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05402731",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4109983",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean Springs, MS

Sources for this page

Verify at the official NPI Registry.