Todd Hall OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

570 Issued in MS

Legal business name

TODD HALL OD PA

Practice address

814 W Park Ave
Greenwood, MS 38930-2825

Phone

(662) 453-5400

Fax

(662) 453-5726

NPI assigned

Apr 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Todd Hall, O.D.NPI 1811177843

Title

President

Phone

(662) 453-5400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Todd Hall, O.D.

  • Optometrist
  • Greenwood, MS
  • NPI 1811177843
  Medicare reassignment NPD Authorized official
• Mary Kathryn Wilson, O.D.

  • Optometrist
  • Mobile, AL
  • NPI 1396090163

  MS

  Medicare reassignment NPD

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1255699658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302825",
            "telephone_number": "662-453-5400",
            "fax_number": "662-453-5726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 W PARK AVE",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "389302825",
            "telephone_number": "662-453-5400",
            "fax_number": "662-453-5726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD HALL OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-453-5400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880003",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA RAILROAD MEDICARE",
            "identifier": "410023650",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monika D Thomas
• Odessa Thomas
• Mary Thornburg
• Jessica Thornsburg, PHARMD
• Dianne Tidwell
• Kynesha Topps
• Total Health Care Services, Inc.
• Lashundreya Townsend
• Melinda Triplett, CMHT
• Laura A. Truitt, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.