Individual provider Active NPI

Chelsea McKnight, O.D.

  • Optometrist
  • Tupelo, MS
National Provider Identifier
1275917346
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
927 Issued in MS
Practice address
3353 N Gloster St
Tupelo, MS 38804-9735
Phone
(662) 844-3555
Fax
(662) 840-5614
NPI assigned
Jul 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 927 MS Primary

Addresses

Primary practice location

3353 N Gloster St
Tupelo, MS 38804-9735

Mailing address

3353 N Gloster St
Tupelo, MS 38804-9735
Phone (662) 844-3555

Other identifiers 2

IdentifierTypeStateIssuer
927OtherMSMS STATE LICENSE
94498OtherMSTPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903000991 MS Practitioner - Optometry 1557677697 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mothershed Optometry Associates PLLCGroup PAC ID 1658353347, 4 clinicians

Practice addresses (Care Compare)

3353 N Gloster St
Tupelo, MS 38804-9735
Phone (662) 844-3555

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
927MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mothershed Optometry Associates PLLC Optometrist CurrentSince Aug 1, 2015 Accepting new patients

Locations

3353 N Gloster St
Tupelo, MS 38804
Phone (662) 844-3555

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1437091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437091200000",
    "number": "1275917346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3353 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049735",
            "telephone_number": "662-844-3555",
            "fax_number": "662-840-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3353 N GLOSTER ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388049735",
            "telephone_number": "662-844-3555",
            "fax_number": "662-840-5614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKNIGHT",
        "first_name": "CHELSEA",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS STATE LICENSE",
            "identifier": "927",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPA",
            "identifier": "94498",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.