Organization Active NPI

Presley Eye Care, PLLC

  • Optometrist
  • Belden, MS
National Provider Identifier
1457794695
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
729 Issued in MS
Legal business name
PRESLEY EYE CARE, PLLC
Practice address
2885 McCullough Blvd.
Suite F
Belden, MS 38826-9022
Phone
(662) 791-0454
Fax
(662) 791-0464
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Dr. Michael L Presley, O.D.NPI 1972693992
Title
Optometrist
Phone
(662) 791-0454

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 729 MS Primary

Addresses

Primary practice location

2885 McCullough Blvd.
Suite F
Belden, MS 38826-9022

Mailing address

2885 McCullough Blvd.
Suite F
Belden, MS 38826-9022
Phone (662) 791-0454

Other identifiers 1

IdentifierTypeStateIssuer
04339363MedicaidMS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140203000059 MS Part B Supplier - Clinic/Group Practice 1759510217 Receives reassigned benefits from 1 practitioner
Practice locations: Belden, MS; New Albany, MS

National Provider Directory

National Provider Directory

Locations

2885 McCullough Blvd
Ste F
Belden, MS 38826
Phone (662) 534-4217

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": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1457794695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 MCCULLOUGH BLVD.",
            "address_2": "SUITE F",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269022",
            "telephone_number": "662-791-0454",
            "fax_number": "662-791-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2885 MCCULLOUGH BLVD.",
            "address_2": "SUITE F",
            "city": "BELDEN",
            "state": "MS",
            "postal_code": "388269022",
            "telephone_number": "662-791-0454",
            "fax_number": "662-791-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESLEY EYE CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "PRESLEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-791-0454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04339363",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belden, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.