Active NPI
Evelyn Lucile Massey, M.D.
- Ophthalmology Physician
- Clarksdale, MS
National Provider Identifier
1467832733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- K9609
- Practice address
- 500 Chris Rd
Clarksdale, MS 38614-9383 - Phone
- (662) 645-4545
- Fax
- (662) 358-4407
- NPI assigned
- Jun 2, 2015
- Last updated
- Jun 2, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 16605 | MS | |
| Ophthalmology Physician | 207W00000X | K9609 | TX | Primary |
Addresses
Primary practice location
500 Chris Rd
Clarksdale, MS 38614-9383
Mailing address
500 Chris Rd
Clarksdale, MS 38614-9383
Phone (662) 645-4545
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16605 | MS | MD | Ophthalmology Physician |
| K9609 | TX | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lubbock Ophthalmology Associate, P.a. | Ophthalmology | Past | Accepting new patients |
| Kelly J Frasier M.D., P.a. | Ophthalmology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1578588273
-
- Ophthalmology Physician
- Lubbock, TX
- NPI 1013975861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1433203200000",
"number": "1467832733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 CHRIS RD",
"city": "CLARKSDALE",
"state": "MS",
"postal_code": "386149383",
"telephone_number": "662-645-4545",
"fax_number": "662-358-4407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CHRIS RD",
"city": "CLARKSDALE",
"state": "MS",
"postal_code": "386149383",
"telephone_number": "662-645-4545",
"fax_number": "662-358-4407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASSEY",
"first_name": "EVELYN",
"middle_name": "LUCILE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-06-02",
"last_updated": "2015-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "16605",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "K9609",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarksdale, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.