Organization Active NPI

HSVC 2, LLC

  • Optometrist
  • Jackson, MS
National Provider Identifier
1457094047
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HSVC 2, LLC
Doing business as
Spectacles
Practice address
120 District Blvd Ste D109
Jackson, MS 39211-6304
Phone
(601) 398-4662
Fax
(601) 398-4669
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Dr. Nettie Rainer Hines, ODNPI 1386168730
Title
Owner / Optometrist
Phone
(601) 398-4662

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 1

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

Addresses

Primary practice location

120 District Blvd Ste D109
Jackson, MS 39211-6304

Mailing address

120 District Blvd Ste D109
Jackson, MS 39211-6304
Phone (601) 398-4662

Other names 1

  • Spectacles Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@spectaclesms.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221024000466 MS Part B Supplier - Clinic/Group Practice 8729454301 Receives reassigned benefits from 2 practitioners
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1457094047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DISTRICT BLVD STE D109",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116304",
            "telephone_number": "601-398-4662",
            "fax_number": "601-398-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DISTRICT BLVD STE D109",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116304",
            "telephone_number": "601-398-4662",
            "fax_number": "601-398-4669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HSVC 2, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "NETTIE",
        "authorized_official_middle_name": "RAINER",
        "authorized_official_title_or_position": "OWNER / OPTOMETRIST",
        "authorized_official_telephone_number": "601-398-4662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@spectaclesms.com",
            "affiliation": "N",
            "endpointDescription": "Admin Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "120 District Blvd Ste D109",
            "city": "Jackson",
            "state": "MS",
            "country_code": "US",
            "postal_code": "392116304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Spectacles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.