NPIMap

Organization Active NPI

Ija Development Firm LLC

  • Optometrist
  • Clinton, MS
National Provider Identifier
1245621978
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
IJA DEVELOPMENT FIRM LLC
Practice address
123A Highway 80 E
Clinton, MS 39056-4738
Phone
(601) 519-1709
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Ingrid Adams
Title
Director
Phone
(601) 519-1709

Specialties & licenses 1

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

Addresses

Primary practice location

123A Highway 80 E
Clinton, MS 39056-4738

Mailing address

123A Highway 80 E
Clinton, MS 39056-4738

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1245621978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123A HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123A HIGHWAY 80 E",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564738",
            "telephone_number": "601-519-1709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IJA DEVELOPMENT FIRM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "601-519-1709"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.