J Minor Pace, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

529 Issued in MS

Practice address

100 Airport Rd S
Pearl, MS 39208-6654

Phone

(601) 939-3753

Fax

(601) 936-6586

NPI assigned

Dec 22, 2006

Last updated

Feb 22, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

20-20 Vision Care IncGroup PAC ID 0042322240, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 20-20 Vision Care Inc

  • Optometrist
  • Pearl, MS
  • NPI 1033274758
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1447315254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD S",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086654",
            "telephone_number": "601-939-3753",
            "fax_number": "601-936-6586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 AIRPORT RD S",
            "city": "PEARL",
            "state": "MS",
            "postal_code": "392086654",
            "telephone_number": "601-939-3753",
            "fax_number": "601-936-6586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "J",
        "middle_name": "MINOR",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0880171",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Dennis Nowell
• Kelsey D Nowell, PTA
• Nuhope Health Solutions
• Nuhope Health Solutions, LLC.
• Robert M Owens, DMD
• Jeffery Martin Pace, OD
• Azaziah Chante Parker, MD
• Dennetta Delorise Parker, FNP
• Ventasha S Parker
• Pearl Family Clinic

• Optometrist in Pearl, MS
• Providers in Pearl, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.