James Flowers Humber IV, OD
Individual provider Active NPI Optometrist · Clarksdale, MS
NPI 1396808259 · NPPES record last updated Nov 17, 2011
Key facts
- NPI
- 1396808259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 633 (MS)
- Practice address
- 636 Friars Point Rd
Clarksdale, MS 38614-9111 - Phone
- (662) 627-2020
- Fax
- (662) 627-7063
- NPI assigned
- Dec 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Medicine and Surgery, 1998
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
636 Friars Point Rd
Clarksdale, MS 38614-9111
Phone (662) 627-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 30 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120130000150 | MS | Practitioner - Optometry | 1355452681 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksdale Vision Center PA | Optometrist | Current |
Accepting new patients |
Locations
636 Friars Point Rd
Clarksdale, MS 38614
Phone (662) 627-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 633 | MS | Yes |
Addresses
Primary practice location
636 Friars Point Rd
Clarksdale, MS 38614-9111
Mailing address
636 Friars Point Rd
Clarksdale, MS 38614-9111
Phone (662) 627-2020
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00880128 | Medicaid | MS |
Other providers in Clarksdale, MS
- Lula Owens Hoskins
- Housing Authority - Clarksdale
- Danielle D Housley
- Tulessia Howard
- Vernon T. Hughes Jr.
- Hunter B Nelson MD PC
- Internal Medicine Clinic of Clarksdale
- Interventional Diabetes Center LLC 2
- Sherwanda L Jackson
- Christina Jacobs
All providers in Clarksdale, MS · Optometrist in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.