Active NPI
Charles E McMasters Inc
- Optometrist
- Flowood, MS
National Provider Identifier
1407118474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 530
- Legal business name
- CHARLES E MCMASTERS INC
- Practice address
- 120 Promenade Blvd
Flowood, MS 39232-8017 - Phone
- (601) 992-1010
- Fax
- (601) 992-7700
- NPI assigned
- Jun 14, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tricia Duncan
- Title
- Biller
- Phone
- (601) 878-6945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 530 | MS | Primary |
Addresses
Primary practice location
120 Promenade Blvd
Flowood, MS 39232-8017
Mailing address
PO Box 3144
Ridgeland, MS 39158-3144
Phone (601) 992-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01538278 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
120 Promenade Blvd
Flowood, MS 39232
Phone (601) 992-1010
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Flowood, MS
- NPI 1548289010
-
- Optometrist
- Gardendale, AL
- NPI 1497320105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339632000000",
"number": "1407118474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3144",
"city": "RIDGELAND",
"state": "MS",
"postal_code": "391583144",
"telephone_number": "601-992-1010",
"fax_number": "601-992-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PROMENADE BLVD",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392328017",
"telephone_number": "601-992-1010",
"fax_number": "601-992-7700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHARLES E MCMASTERS INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-14",
"last_updated": "2012-06-14",
"status": "A",
"authorized_official_last_name": "DUNCAN",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "601-878-6945"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01538278",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.