Margo D Ray Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

665 Issued in MS

Legal business name

MARGO D RAY INC

Practice address

7950 Craft Goodman Rd
Olive Branch, MS 38654-6608

Phone

(662) 893-3950

Fax

(662) 893-3950

NPI assigned

Aug 24, 2007

Last updated

Aug 24, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Margo Denice Boler, O.D.NPI 1043300585

Title

President

Phone

(662) 893-3950

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margo Denice Boler, O. D.

  • Optometrist
  • Olive Branch, MS
  • NPI 1043300585
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1187913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1245423995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 CRAFT GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546608",
            "telephone_number": "662-893-3950",
            "fax_number": "662-893-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 CRAFT GOODMAN RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386546608",
            "telephone_number": "662-893-3950",
            "fax_number": "662-893-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARGO D RAY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-24",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "BOLER",
        "authorized_official_first_name": "MARGO",
        "authorized_official_middle_name": "DENICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-893-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Preslee Magee, O.D
• Magnolia Grace Care Management, LLC
• Maids (Maids LLC)
• Barrett Karl Manning, RPH
• Shanna Jade Manning, DPT
• Christopher Scott Markham, LPT
• Carla Arnette Martin, D.P.M.
• Madelon Sullivan Martin, LPC, RPT
• Nicole L Martin, LPC
• Shawna Lee Martin, AGPCNP-BC

• Optometrist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.