Southern Eye Care of Forest

Primary specialty

OptometristTaxonomy code 152W00000X

License

605 Issued in MS

Legal business name

SOUTHERN EYE CARE OF FOREST

Practice address

521 Deerfield Dr
Forest, MS 39074-6006

Phone

(601) 267-9351

Fax

(601) 267-9004

NPI assigned

Jul 25, 2014

Organization subpart

No

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

Authorized official

Name

Philip Marler, ODNPI 1831181437

Title

President

Phone

(601) 267-9351

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

Practitioners 5

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

• Kaitlin Medlin, OD

  • Optometrist
  • Carthage, MS
  • NPI 1548145121
  Medicare reassignment Care Compare group NPD
• Bradley Majors Thompson, O.D.

  • Optometrist
  • Forest, MS
  • NPI 1952432262
  Medicare reassignment Care Compare group
• Royce Vandiver Miles Jr.

  • Optometrist
  • Macon, MS
  • NPI 1083266498
  Medicare reassignment NPD
• Philip Wayne Marler, OD

  • Optometrist
  • Carthage, MS
  • NPI 1831181437
  NPD (past) Authorized official
• Emily Carter Patterson, OD

  • Optometrist
  • Carthage, MS
  • NPI 1801522495
  NPD

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721260800000",
    "number": "1306254057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 DEERFIELD DR",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390746006",
            "telephone_number": "601-267-9351",
            "fax_number": "601-267-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 DEERFIELD DR",
            "city": "FOREST",
            "state": "MS",
            "postal_code": "390746006",
            "telephone_number": "601-267-9351",
            "fax_number": "601-267-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN EYE CARE OF FOREST",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-25",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A",
        "authorized_official_last_name": "MARLER",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-267-9351",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Andrew Sistrunk, PHARMD
• Small Town Physical Therapy, LLC
• Smilecare PLLC
• John B Smith Jr., DMD
• Marion Jewett Sorrels, D.O.
• Mari-Todd B Stephens, OT
• Natalie R Stevens, OT
• Daniel Stewart
• Sunny Days Homecare
• Alexandria M Taylor, DPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.