Neil H. Simmons, O.D., P.a.

Primary specialty

OptometristTaxonomy code 152W00000X

License

563 Issued in MS

Legal business name

NEIL H. SIMMONS, O.D., P.A.

Practice address

110 N Van Buren St
Carthage, MS 39051-4126

Phone

(601) 267-7777

Fax

(601) 267-7774

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Neil H. Simmons, O.D.

Title

Owner

Phone

(601) 267-7777

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1235305558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 N VAN BUREN ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514126",
            "telephone_number": "601-267-7777",
            "fax_number": "601-267-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 N VAN BUREN ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390514126",
            "telephone_number": "601-267-7777",
            "fax_number": "601-267-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL H. SIMMONS, O.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-267-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880215",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "410000046",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Minhthu Nguyen, O.D
• Mindy Nielsen
• Not Bound Consulting, LLC
• Manuel Lim Ong Jr., M.D.
• Emily Carter Patterson, OD

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

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.