JTM Enterprises, PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

955 Issued in MS

Legal business name

JTM ENTERPRISES, PLLC

Practice address

706 Highway 12 W Ste F
Starkville, MS 39759-3573

Phone

(662) 323-0571

Fax

(662) 323-6365

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Tindall Dawkins Morrison, ODNPI 1053833541

Title

Owner

Phone

(662) 418-6727

Specialties & licenses 1

Addresses

Other names 1

• Ford Vision Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 2

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

• Tindall Dawkins Morrison, OD

  • Optometrist
  • Starkville, MS
  • NPI 1053833541
  Medicare reassignment Care Compare group NPD Authorized official
• Reagan Lee Ford Sr., O.D.

  • Optometrist
  • Starkville, MS
  • NPI 1124048277
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1295220101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 LAUREL VALLEY CV",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397594382",
            "telephone_number": "662-418-6727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 HIGHWAY 12 W STE F",
            "city": "STARKVILLE",
            "state": "MS",
            "postal_code": "397593573",
            "telephone_number": "662-323-0571",
            "fax_number": "662-323-6365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTM ENTERPRISES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "TINDALL",
        "authorized_official_middle_name": "DAWKINS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-418-6727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ford Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sammie Lee Jones Jr., D.C.
• Shannon Palmer Jones, MD
• Tabitha T Jones, MS
• Tequila Jones
• Tamarah Jordan
• Jayanthi Kaliyaperumal
• Karing Hands Transit LLC
• Tonia Carroll Kasper, LCSW, RPT
• Kermit D Laird MD PA
• Victor C. Kessler, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.