NPIMap

Organization Active NPI

Tina Sorey Doctor of Optometry, PA

  • Optometrist
  • Flowood, MS
National Provider Identifier
1306010897
Registry record updated Apr 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
637 Issued in MS
Legal business name
TINA SOREY DOCTOR OF OPTOMETRY, PA
Practice address
117 Luckney Station
Flowood, MS 39232-8027
Phone
(601) 992-7275
Fax
(601) 992-7244
NPI assigned
Apr 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2008

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

Authorized official

Name
Tina Renee Sorey, ODNPI 1245213081
Title
Owner
Phone
(601) 992-7275

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 637 MS Primary

Addresses

Primary practice location

117 Luckney Station
Flowood, MS 39232-8027

Mailing address

117 Luckney Station
Flowood, MS 39232-8027
Phone (601) 992-7275

Other identifiers 1

IdentifierTypeStateIssuer
09015291MedicaidMS

Other names 1

  • Sorey Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1306010897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 LUCKNEY STATION",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328027",
            "telephone_number": "601-992-7275",
            "fax_number": "601-992-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 LUCKNEY STATION",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328027",
            "telephone_number": "601-992-7275",
            "fax_number": "601-992-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TINA SOREY DOCTOR OF OPTOMETRY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "SOREY",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-992-7275",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015291",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sorey Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Flowood, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.