Organization Active NPI

Crossroads Vision LLC

  • Optometrist
  • Gulfport, MS
National Provider Identifier
1417868928
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CROSSROADS VISION LLC
Practice address
15218 Crossroads Pkwy Ste B
Gulfport, MS 39503-3564
Phone
(228) 831-5595
Fax
(228) 831-5540
NPI assigned
Sep 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Authorized official

Name
Dr. Max Maurice Edrington, OD
Title
Owner/Optometrist
Phone
(228) 861-2714

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

15218 Crossroads Pkwy Ste B
Gulfport, MS 39503-3564

Mailing address

15218 Crossroads Pkwy Ste B
Gulfport, MS 39503-3564

NPI Registry JSON

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

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1417868928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15218 CROSSROADS PKWY STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15218 CROSSROADS PKWY STE B",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033564",
            "telephone_number": "228-831-5595",
            "fax_number": "228-831-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A",
        "authorized_official_last_name": "EDRINGTON",
        "authorized_official_first_name": "MAX",
        "authorized_official_middle_name": "MAURICE",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "228-861-2714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.