Total Icare Ms LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

867 Issued in MS

Legal business name

TOTAL ICARE MS LLC

Practice address

1200 E County Line Rd
Ste 164
Ridgeland, MS 39157-1904

Phone

(769) 208-8930

Fax

(769) 208-8831

NPI assigned

Mar 30, 2015

Last updated

Mar 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Courtney Thompson, O.D.NPI 1578819835

Title

Owner

Phone

(601) 212-8162

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

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.

• Courtney Thompson, O.D.

  • Optometrist
  • Jackson, MS
  • NPI 1578819835
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1366837262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2355",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391582355",
            "telephone_number": "769-208-8930",
            "fax_number": "769-208-8831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E COUNTY LINE RD",
            "address_2": "STE 164",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571904",
            "telephone_number": "769-208-8930",
            "fax_number": "769-208-8831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL ICARE MS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-212-8162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Lynn Tolbert, FNP
• Walter Tolero
• Tolley Valerie (Health Care Medical)
• Edith C Toney
• Total Healthcare Solutions LLC
• Julie Catherine Town, MA
• Towne Center Pharmacy LLC
• Alyssa M Townsend, PTA
• Traditions Hospice of Ridgeland, LLC (Traditions Health)
• Traditions Hospice of Ridgeland, LLC (Traditions Health)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.