NPIMap

Organization Active NPI

Ms Eye Care, PA

Doing business as Mississippi Eye Care Philadelphia

  • Optometrist
  • Philadelphia, MS
National Provider Identifier
1346334554
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MS EYE CARE, PA
Doing business as
Mississippi Eye Care Philadelphia
Practice address
1054 Airpark Rd
Philadelphia, MS 39350-3368
Phone
(601) 656-3296
Fax
(601) 656-8164
NPI assigned
Oct 3, 2006
Last updated
Jul 3, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
MS EYE CARE, PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Authorized official

Name
Jacob A Ivey, OD
Title
OD/Owner
Phone
(601) 656-3296

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1054 Airpark Rd
Philadelphia, MS 39350-3368

Mailing address

PO Box 628
Philadelphia, MS 39350
Phone (662) 446-9000

Other identifiers 1

IdentifierTypeStateIssuer
09011905MedicaidMS

Other names 1

  • MISSISSIPPI EYE CARE PHILADELPHIA Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Ms Eye Care PA12 organizations share this tax ID, including this one
Part of
Ms Eye Care PA

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1054 Airpark Rd
Philadelphia, MS 39350
Phone (601) 656-3296

1054 Airpark Rd
#2
Philadelphia, MS 39350
Phone (601) 656-3296

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1346334554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 628",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "39350",
            "telephone_number": "662-446-9000",
            "fax_number": "662-779-4030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1054 AIRPARK RD",
            "city": "PHILADELPHIA",
            "state": "MS",
            "postal_code": "393503368",
            "telephone_number": "601-656-3296",
            "fax_number": "601-656-8164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MS EYE CARE, PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MS EYE CARE, PA",
        "enumeration_date": "2006-10-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-03",
        "status": "A",
        "authorized_official_last_name": "IVEY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OD/OWNER",
        "authorized_official_telephone_number": "601-656-3296",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09011905",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MISSISSIPPI EYE CARE PHILADELPHIA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.