Organization Active NPI

Ms Eye Care PA

  • Optometrist
  • Starkville, MS
National Provider Identifier
1427262450
Registry record updated May 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
706 Issued in MS
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 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 24, 2022

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 492 MS
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05208871MedicaidMS

Other names 1

  • MISSISSIPPI EYE CARE STARKVILLE Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2049351Mississippi Eye Care Starkville#6 Professional Plaza, Starkville, MS 39759Certificate of waiverAug 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.

Verify at the official NPI Registry.