Professional Eyecare Associates ,Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PROFESSIONAL EYECARE ASSOCIATES ,INC

Practice address

6704 Old Canton Rd
Ridgeland, MS 39157-1225

Phone

(601) 957-9292

Fax

(601) 957-7585

NPI assigned

Oct 25, 2006

Last updated

Sep 16, 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. Michael J Phillips, O.D.NPI 1881884872

Title

Owner

Phone

(601) 957-9292

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 17

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.

• Michael Phillips, O.D.

  • Optometrist
  • Ridgeland, MS
  • NPI 1881884872
  Medicare reassignment Care Compare group NPD Authorized official
• Julie Brewer Dawson

  • Optometrist
  • Madison, MS
  • NPI 1467861484
  Medicare reassignment Care Compare group NPD
• 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
• James W Bearden III, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1831405448
  Medicare reassignment NPD
• Andrea Bell

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

  • Optometrist
  • Canton, MS
  • NPI 1992011506
  Medicare reassignment NPD
• Thi Bui, O.D.

  • Optometrist
  • Meridian, MS
  • NPI 1063435469
  NPD (past)
• Christopher Bullin, O.D.

  • Optometrist
  • Jackson, MS
  • NPI 1457541450
  NPD (past)
• William Boyce Craig, O.D.

  • Optometrist
  • Canton, MS
  • NPI 1659322980
  NPD (past)
• Adam Crawford, O.D.

  • Optometrist
  • Ridgeland, MS
  • NPI 1154511152
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410825600000",
    "number": "1497830020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571225",
            "telephone_number": "601-957-9292",
            "fax_number": "601-957-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6704 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571225",
            "telephone_number": "601-957-9292",
            "fax_number": "601-957-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYECARE ASSOCIATES ,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-25",
        "last_updated": "2014-09-16",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-957-9292",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03950565",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary F. Price, OTR/L
• Richard Price, MD
• Tricia Price, OTR/L
• Jeffery Brian Pride, D.M.D.
• Charles Pringle, M.D.
• Julie Carol Propst, LMFT
• Lyn Pruitt-Lanphere, LPC
• Psych Docs, LLC
• Conner Puckett
• Jocelyn Danaye Puckett

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.