NPIMap

Organization Active NPI

Optical 2000 of Flora PA

  • Optometrist
  • Flora, MS
National Provider Identifier
1447794797
Registry record updated Mar 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
00748 Issued in MS
Legal business name
OPTICAL 2000 OF FLORA PA
Practice address
4843 Main St.
Flora, MS 39071
Phone
(601) 879-5550
NPI assigned
Dec 6, 2016
Last updated
Mar 8, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
OPTICAL 2000 PAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 8, 2017

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

Authorized official

Name
Bobby Pankey, ODNPI 1235183617
Title
Optometrist
Phone
(601) 879-5550

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 00748 MS Primary

Addresses

Primary practice location

4843 Main St.
Flora, MS 39071

Mailing address

115 Cynthia St
Clinton, MS 39056-3711
Phone (601) 924-4444

National Provider Directory

National Provider Directory
Part of
Optical 2000

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488931200000",
    "number": "1447794797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 CYNTHIA ST",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390563711",
            "telephone_number": "601-924-4444",
            "fax_number": "601-924-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4843 MAIN ST.",
            "city": "FLORA",
            "state": "MS",
            "postal_code": "39071",
            "telephone_number": "601-879-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL 2000 OF FLORA PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTICAL 2000 PA",
        "enumeration_date": "2016-12-06",
        "last_updated": "2017-03-08",
        "status": "A",
        "authorized_official_last_name": "PANKEY",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "601-879-5550",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "00748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flora, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2017; 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.