Organization Active NPI

Affordable Eyes Inc.

  • Optician
  • Southaven, MS
National Provider Identifier
1467177865
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
AFFORDABLE EYES INC.
Practice address
9230 Millbranch Rd
Southaven, MS 38671-1424
Phone
(662) 470-6961
NPI assigned
Oct 7, 2022
Last updated
Oct 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Mr. Jermayne Ford, ABO CERTIFICATION
Title
Owner
Phone
(662) 470-6961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

9230 Millbranch Rd
Southaven, MS 38671-1424

Mailing address

9230 Millbranch Rd
Southaven, MS 38671-1424
Phone (662) 470-6961

National Provider Directory

National Provider Directory

Locations

9230 Millbranch Rd
Southaven, MS 38671
Phone (662) 470-6961

NPI Registry JSON

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

{
    "created_epoch": "1665100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1467177865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 MILLBRANCH RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711424",
            "telephone_number": "662-470-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 MILLBRANCH RD",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386711424",
            "telephone_number": "662-470-6961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE EYES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-07",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "JERMAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-470-6961",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABO CERTIFICATION"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.