Organization Active NPI

Heritage Vision Center Inc

  • Optician
  • Hattiesburg, MS
National Provider Identifier
1447383021
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Authorized official

Name
Mr. Kevin HarrisonNPI 1982725149
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00880044MedicaidMS

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.