Michael Edward Obrien, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

593 Issued in MS

Practice address

1890 Goodman Rd E
Suite 100
Southaven, MS 38671-9552

Phone

(662) 772-5882

Fax

(662) 772-5808

NPI assigned

Nov 3, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Optometry

Education

Southern College of Optometry, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obrien Vision Center, P.a.Group PAC ID 6002990983, 5 clinicians

Charleston Vision Center PAGroup PAC ID 2466692777, 3 clinicians

Byhalia Vision Center LLCGroup PAC ID 7517297591, 5 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Obrien Vision Center, P.a.

  • Optometrist
  • Southaven, MS
  • NPI 1518046234
  Medicare reassignment Care Compare group Authorized official
• Byhalia Vision Center LLC

  • Optometrist
  • Byhalia, MS
  • NPI 1952965022
  Medicare reassignment Care Compare group NPD
• Charleston Vision Center PA

  • Optometrist
  • Charleston, MS
  • NPI 1932440138
  Medicare reassignment Care Compare group NPD
• Obrien Eye Care

  • Optometrist
  • Charleston, MS
  • NPI 1528249497
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1306925029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E",
            "address_2": "SUITE 100",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719552",
            "telephone_number": "662-772-5882",
            "fax_number": "662-772-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 GOODMAN RD E",
            "address_2": "SUITE 100",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719552",
            "telephone_number": "662-772-5882",
            "fax_number": "662-772-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBRIEN",
        "first_name": "MICHAEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015435",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Nunnally, PHARMD
• Nurseplugconnect PLLC
• Jennifer M O'Bryan, MD
• Obreineyecare
• Obrien Vision Center, P.a.
• Angela Oigbokie
• Karleke T Oliver, LMSW
• Omega Hospice, LLC
• Sarah Holmes Oneal, LPC
• Eric John Ormseth, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.