Organization Active NPI

Gates Eye Care LLC

  • Optometrist
  • Pontotoc, MS
National Provider Identifier
1275495673
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GATES EYE CARE LLC
Practice address
100 McCord Rd
Pontotoc, MS 38863-6245
Phone
(662) 322-6009
Fax
(662) 553-5480
NPI assigned
Nov 25, 2025
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
McKenzie Lee Gates, O.D.NPI 1407631492
Title
Owner
Phone
(662) 322-6009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

100 McCord Rd
Pontotoc, MS 38863-6245

Mailing address

100 McCord Rd
Pontotoc, MS 38863-6245
Phone (662) 322-6009

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 25, 2025.

{
    "created_epoch": "1764028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1275495673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MCCORD RD",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388636245",
            "telephone_number": "662-322-6009",
            "fax_number": "662-553-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MCCORD RD",
            "city": "PONTOTOC",
            "state": "MS",
            "postal_code": "388636245",
            "telephone_number": "662-322-6009",
            "fax_number": "662-553-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-25",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-22",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "MCKENZIE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-322-6009",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontotoc, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.