Organization Active NPI

Eye Examiners, Inc.

  • Optometrist
  • Hattiesburg, MS
National Provider Identifier
1285685230
Registry record updated Jun 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE EXAMINERS, INC.
Practice address
6117 U S Highway 98 Ste 20
Hattiesburg, MS 39402-7014
Phone
(601) 264-2006
Fax
(601) 264-9030
NPI assigned
May 15, 2006
Last updated
Jun 20, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2019

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

Authorized official

Name
Dr. John Randolph Marcev, M.S., O.D.NPI 1750333555
Title
President
Phone
(601) 264-2006

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

6117 U S Highway 98 Ste 20
Hattiesburg, MS 39402-7014

Mailing address

PO Box 18516
Hattiesburg, MS 39404-8460
Phone (601) 264-2006

Other identifiers 1

IdentifierTypeStateIssuer
03951894MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060905000507 MS Part B Supplier - Clinic/Group Practice 4688678659 Receives reassigned benefits from 1 practitioner
Practice locations: Hattiesburg, MS

National Provider Directory

National Provider Directory

Locations

6117 U S Highway 98
Ste 20
Hattiesburg, MS 39402
Phone (601) 264-2006

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560988800000",
    "number": "1285685230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18516",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048460",
            "telephone_number": "601-264-2006",
            "fax_number": "601-264-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6117 U S HIGHWAY 98 STE 20",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394027014",
            "telephone_number": "601-264-2006",
            "fax_number": "601-264-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE EXAMINERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2019-06-20",
        "status": "A",
        "authorized_official_last_name": "MARCEV",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "RANDOLPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-264-2006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.S., O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03951894",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; 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.