Organization Active NPI

Eyedoc Consulting

  • Optometrist
  • Gautier, MS
National Provider Identifier
1477339687
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEDOC CONSULTING
Doing business as
Eyedoc Consulting
Practice address
2105 Old Spanish TRL
Gautier, MS 39553-6000
Phone
(228) 205-7761
NPI assigned
Sep 4, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Authorized official

Name
Dr. Minh Duong, O.D.NPI 1871604207
Title
Owner
Phone
(601) 918-7976

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

2105 Old Spanish TRL
Gautier, MS 39553-6000

Mailing address

901 42ND CT
Meridian, MS 39305-3439
Phone (601) 918-7976

Other names 1

  • Eyedoc Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

2105 Old Spanish Trl
Gautier, MS 39553
Phone (228) 205-7700

Practitioners & affiliated clinicians

Practitioners 1

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": "1693785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693785600000",
    "number": "1477339687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 42ND CT",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393053439",
            "telephone_number": "601-918-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 OLD SPANISH TRL",
            "city": "GAUTIER",
            "state": "MS",
            "postal_code": "395536000",
            "telephone_number": "228-205-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOC CONSULTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-04",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-04",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-918-7976",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyedoc Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gautier, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; 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.