Active NPI
Nettie Hines, OD
- Optometrist
- Flowood, MS
National Provider Identifier
1497213383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- NETTIE HINES, OD
- Practice address
- 1006 Treetops Blvd Ste 105
Flowood, MS 39232-7645 - Phone
- (601) 519-4466
- Fax
- (601) 374-5737
- NPI assigned
- Mar 9, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nettie Hines
- Title
- Owner
- Phone
- (601) 519-4466
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1006 Treetops Blvd Ste 105
Flowood, MS 39232-7645
Mailing address
1006 Treetops Blvd Ste 105
Flowood, MS 39232-7645
Phone (601) 519-4466
Other names 1
- HineSight Vision Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190531001247 | MS | Part B Supplier - Clinic/Group Practice | 1254664592 |
Receives reassigned benefits from 2 practitioners Practice locations: Flowood, MS |
National Provider Directory
National Provider DirectoryLocations
1006 Treetops Blvd
Ste 105
Flowood, MS 39232
Phone (601) 519-4466
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": "1552089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603843200000",
"number": "1497213383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1006 TREETOPS BLVD STE 105",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327645",
"telephone_number": "601-519-4466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1006 TREETOPS BLVD STE 105",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392327645",
"telephone_number": "601-519-4466",
"fax_number": "601-374-5737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NETTIE HINES, OD",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-09",
"last_updated": "2020-10-28",
"certification_date": "2020-10-28",
"status": "A",
"authorized_official_last_name": "HINES",
"authorized_official_first_name": "NETTIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "601-519-4466"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "HineSight Vision Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Flowood, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.