Organization Active NPI

Amin Eye Care, PLLC

Doing business as Southaven Primary Eye Care

  • Optometrist
  • Southaven, MS
National Provider Identifier
1437720315
Registry record updated Aug 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AMIN EYE CARE, PLLC
Doing business as
Southaven Primary Eye Care
Practice address
940 Church Rd W Ste C
Southaven, MS 38671-9611
Phone
(662) 331-3937
Fax
(662) 404-8884
NPI assigned
Jul 1, 2021
Last updated
Aug 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2024

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

Authorized official

Name
Parth Amin, ODNPI 1184286874
Title
Owner
Phone
(662) 519-4763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

940 Church Rd W Ste C
Southaven, MS 38671-9611

Mailing address

940 Church Rd W Ste C
Southaven, MS 38671-9611
Phone (662) 331-3937

Other names 1

  • Southaven Primary Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210819000953 MS Part B Supplier - Clinic/Group Practice 9931504594 Receives reassigned benefits from 2 practitioners
Practice locations: Southaven, MS

National Provider Directory

National Provider Directory

Locations

940 Church Rd W
Ste C
Southaven, MS 38671
Phone (662) 331-3937

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1625097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1437720315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 CHURCH RD W STE C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719611",
            "telephone_number": "662-331-3937",
            "fax_number": "662-404-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 CHURCH RD W STE C",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719611",
            "telephone_number": "662-331-3937",
            "fax_number": "662-404-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMIN EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-01",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "AMIN",
        "authorized_official_first_name": "PARTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-519-4763",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southaven Primary Eye Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Southaven Primary Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.