Brandon Professional Eyecare Associates, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRANDON PROFESSIONAL EYECARE ASSOCIATES, INC.

Practice address

1390 W Government St Ste C
Brandon, MS 39042-3273

Phone

(601) 825-8300

NPI assigned

Sep 10, 2014

Last updated

Sep 10, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James W Bearden IIINPI 1831405448

Title

Owner

Phone

(601) 859-3464

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James W Bearden III, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1831405448
  Medicare reassignment NPD Authorized official
• Mary Byrd Garber, OD

  • Optometrist
  • Madison, MS
  • NPI 1831879592
  Medicare reassignment Care Compare group NPD
• Anh Giang, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1528477692
  Medicare reassignment Care Compare group NPD
• Joshua C Massey

  • Optometrist
  • Clinton, MS
  • NPI 1154677136
  Medicare reassignment Care Compare group NPD
• Michael Phillips, O.D.

  • Optometrist
  • Ridgeland, MS
  • NPI 1881884872
  Medicare reassignment Care Compare group NPD
• Andrea Bell

  • Optometrist
  • Canton, MS
  • NPI 1932937497
  Medicare reassignment NPD
• Melissa L Rasmussen, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1992011506
  Medicare reassignment NPD
• Brandon W Walley, O.D.

  • Optometrist
  • Collierville, TN
  • NPI 1508027277
  NPD (past)

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1477954352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1185 HART ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464805",
            "telephone_number": "601-859-3464",
            "fax_number": "601-859-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W GOVERNMENT ST STE C",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390423273",
            "telephone_number": "601-825-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON PROFESSIONAL EYECARE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "BEARDEN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-859-3464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon Hma LLC (Crossgates River Oaks Hospital)
• Ashley Jordan Breland, OT
• Harold Bernard Brewer Jr., A.B.O.C.
• Justin Mitchell Brewer, MD
• Brian E Johnston DMD PA
• Bridgers Health & Healing LLC

• Optometrist in Brandon, MS
• Providers in Brandon, MS by specialty
• Optometrist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.