Professional Optical of Mississippi Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PROFESSIONAL OPTICAL OF MISSISSIPPI INC

Practice address

1208 Mission 66
Vicksburg, MS 39183-3137

Phone

(601) 636-5541

NPI assigned

Oct 12, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Harris C Anthony, OPTICIANNPI 1255377214

Title

Owner

Phone

(601) 636-5541

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harris C Anthony Sr., OPTICIAN

  • Optician
  • Vicksburg, MS
  • NPI 1255377214
  NPD (past) Authorized official

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1417145624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833137",
            "telephone_number": "601-636-5541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 MISSION 66",
            "city": "VICKSBURG",
            "state": "MS",
            "postal_code": "391833137",
            "telephone_number": "601-636-5541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL OPTICAL OF MISSISSIPPI INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "ANTHONY",
        "authorized_official_first_name": "HARRIS",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-636-5541",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880167",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas R Potts, CRNA
• David D Powers, PHD
• Shelby Patricia Primeaux, MSN, APRN, AGACNP-BC
• Maurice L Prince Jr., MD
• Private Home Care, Inc.
• Promise Hospital of Vicksburg Inc
• Manivanh A Prudhomme, MSN, FNP-BC, AGACNP-
• Cheryl Puckett
• Pulmonary Diagnostic Services LLC
• Karan Puri, MD

• Eyewear Supplier in Vicksburg, MS
• Providers in Vicksburg, MS by specialty
• Eyewear Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.