Organization Active NPI

Nettie Hines, OD

  • Optometrist
  • Flowood, MS
National Provider Identifier
1497213383
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Oct 28, 2020

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

Authorized official

Name
Nettie HinesNPI 1386168730
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190531001247 MS Part B Supplier - Clinic/Group Practice 1254664592 Receives reassigned benefits from 2 practitioners
Practice locations: Flowood, MS

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.