Active NPI
Ms Eye Care PA
- Optometrist
- Starkville, MS
National Provider Identifier
1427262450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 706
- Legal business name
- MS EYE CARE PA
- Doing business as
- MISSISSIPPI EYE CARE STARKVILLE
- Practice address
- 6 Professional PLZ
Starkville, MS 39759 - Phone
- (662) 323-3330
- Fax
- (662) 323-3880
- NPI assigned
- May 9, 2007
- Organization subpart
- Yes
- Parent organization
- MS EYE CARE PA
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tammy Womble
- Title
- Credentialing
- Phone
- (662) 446-9000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 492 | MS | |
| Optometrist | 152W00000X | 706 | MS | Primary |
Addresses
Primary practice location
6 Professional PLZ
Starkville, MS 39759
Mailing address
14994 W Main St
Louisville, MS 39339-2616
Phone (662) 773-3494
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05208871 | Medicaid | MS |
Other names 1
- MISSISSIPPI EYE CARE STARKVILLE
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 25D2049351 | Mississippi Eye Care Starkville | Certificate of waiver | Aug 15, 2026 |
National Provider Directory
National Provider Directory- Part of
- Ms Eye Care PA
Locations
6 Professional Plz
Starkville, MS 39759
Phone (662) 323-3330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1653350400000",
"number": "1427262450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14994 W MAIN ST",
"city": "LOUISVILLE",
"state": "MS",
"postal_code": "393392616",
"telephone_number": "662-773-3494",
"fax_number": "662-773-7883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 PROFESSIONAL PLZ",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "39759",
"telephone_number": "662-323-3330",
"fax_number": "662-323-3880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MS EYE CARE PA",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MS EYE CARE PA",
"enumeration_date": "2007-05-09",
"last_updated": "2022-05-24",
"certification_date": "2022-05-24",
"status": "A",
"authorized_official_last_name": "WOMBLE",
"authorized_official_first_name": "TAMMY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "662-446-9000"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "492",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "MS",
"license": "706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "05208871",
"state": "MS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MISSISSIPPI EYE CARE STARKVILLE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.