Active NPI
Mark Flynt Cloer Sr., ABOC, NCLE-AC
- Contact Lens Fitter
- Madison, MS
National Provider Identifier
1447403266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contact Lens Fitter
- Practice address
- 166 Sumac Dr
Madison, MS 39110-9612 - Phone
- (601) 856-4053
- NPI assigned
- Oct 23, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contact Lens Fitter | 156FC0801X | Primary | ||
| Optician | 156FX1800X |
Addresses
Primary practice location
166 Sumac Dr
Madison, MS 39110-9612
Mailing address
166 Sumac Dr
Madison, MS 39110-9612
Phone (601) 856-4053
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1224720000000",
"number": "1447403266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "166 SUMAC DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391109612",
"telephone_number": "601-856-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 SUMAC DR",
"city": "MADISON",
"state": "MS",
"postal_code": "391109612",
"telephone_number": "601-856-4053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLOER",
"first_name": "MARK",
"middle_name": "FLYNT",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "ABOC, NCLE-AC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-10-23",
"last_updated": "2008-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "156FC0801X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Contact Lens Fitter",
"state": null,
"license": null,
"primary": true
},
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.