Active NPI
Heritage Vision Center Inc
- Optician
- Hattiesburg, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Legal business name
- HERITAGE VISION CENTER INC
- Practice address
- 6096 U S Highway 98
Ste. 1
Hattiesburg, MS 39402-8885 - Phone
- (601) 264-1701
- Fax
- (601) 268-9109
- NPI assigned
- Mar 13, 2007
- Last updated
- Mar 7, 2013
- 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
- Mr. Kevin Harrison
- Title
- Owner
- Phone
- (601) 264-1701
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Technician/Technologist | 156FC0800X | |||
| Contact Lens Fitter | 156FC0801X | |||
| Ophthalmic Technician/Technologist | 156FX1100X | |||
| Optician | 156FX1800X | Primary |
Addresses
Primary practice location
6096 U S Highway 98
Ste. 1
Hattiesburg, MS 39402-8885
Mailing address
6096 U S Highway 98
Ste. 1
Hattiesburg, MS 39402-8885
Phone (601) 264-1701
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00880044 | Medicaid | MS |
National Provider Directory
National Provider DirectoryLocations
6096 U S Highway 98
Ste 1
Hattiesburg, MS 39402
Phone (601) 264-1701
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optician
- Hattiesburg, MS
- NPI 1982725149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362614400000",
"number": "1447383021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6096 U S HIGHWAY 98",
"address_2": "STE. 1",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028885",
"telephone_number": "601-264-1701",
"fax_number": "601-268-9109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6096 U S HIGHWAY 98",
"address_2": "STE. 1",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394028885",
"telephone_number": "601-264-1701",
"fax_number": "601-268-9109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE VISION CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2013-03-07",
"status": "A",
"authorized_official_last_name": "HARRISON",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-264-1701",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "156FC0800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1100X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ophthalmic",
"state": null,
"license": null,
"primary": false
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00880044",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hattiesburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.