Robert Searcy Shipp V, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

719 Issued in MS

Practice address

1831 S. Martin Luther King Blvd.
Greenville, MS 38701

Phone

(662) 378-3318

Fax

(662) 378-3317

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shipp Family Eyecare PLLCGroup PAC ID 4385651223, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Shipp Family Eyecare, PLLC

  • Optometrist
  • Greenville, MS
  • NPI 1689680464
  Medicare reassignment Care Compare group NPD Authorized official
• Shipp Family Eyecare, PLLC

  • Optometrist
  • Cleveland, MS
  • NPI 1730194358
  NPD
• Visionworks, Inc.

  dba Visionworks

  • Optometrist
  • Independence, MO
  • NPI 1649203308
  NPD (past)

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1225044001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 S. MARTIN LUTHER KING BLVD",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 S. MARTIN LUTHER KING BLVD.",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "38701",
            "telephone_number": "662-378-3318",
            "fax_number": "662-378-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "ROBERT",
        "middle_name": "SEARCY",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02909231",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharkey-Issaquena Adult Daycare (MS Investments LTD)
• Kimberly Lavearne Shead, SLP
• Patricia Ann Shelton, R.N.
• Chasity Ann Sheppeard, FNP-C
• Shipp Family Eyecare, PLLC
• Mary Sims-Johnson, LCSW
• Satwinder Singh, MD
• Erica Laquonia Singleton, RN
• Theresa L Skelton, DMD,MS
• Brady Smith, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.