Active NPI
Crossroads Vision LLC
- Optometrist
- Gulfport, MS
National Provider Identifier
1417868928
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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.