Individual provider Active NPI

Elizabeth Eckard, O.D.

  • Optometrist
  • Tupelo, MS
National Provider Identifier
1295934529
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
625 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, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 625 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 names 1

  • Beth Eckard Professional name

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
I20040608000741 MS Practitioner - Optometry 8729061130 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wesson Ophthalmology Associates P.L.L.C.Group PAC ID 1153361282, 4 clinicians
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
625MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Mothershed Optometry Associates PLLC Optometrist CurrentSince Feb 2, 2004 Accepting new patients
Wesson Ophthalmology Associates P.L.L.C. CurrentSince Mar 7, 2023 Accepting new patients

Locations

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

Organizations & group practices 2

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": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1295934529",
    "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": "ECKARD",
        "first_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BETH",
            "last_name": "ECKARD",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.