Jacob A Ivey, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

762 Issued in MS

Practice address

14994 W Main St
Louisville, MS 39339-2616

Phone

(662) 773-3494

Fax

(662) 773-7883

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

University Alabama Birmingham - School of Optometry, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ms Eye Care PAGroup PAC ID 3274814207, 17 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jivey@mseyecare.eyefinity-direct.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ms Eye Care PA

  dba Meridian Eye Care

  • Optometrist
  • Meridian, MS
  • NPI 1639530454
  Medicare reassignment Care Compare group NPD
• Ms Eye Care, PA

  dba Mississippi Eye Care Eupora

  • Optometrist
  • Eupora, MS
  • NPI 1356238943
  NPD

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649721600000",
    "number": "1508885369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-773-3494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14994 W MAIN ST",
            "city": "LOUISVILLE",
            "state": "MS",
            "postal_code": "393392616",
            "telephone_number": "662-773-3494",
            "fax_number": "662-773-7883"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5002 Highway 39 N Bldg B",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "MS",
            "postal_code": "393011078",
            "country_code": "US",
            "telephone_number": "601-683-7331",
            "fax_number": "601-683-3721",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 Decatur St",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "MS",
            "postal_code": "393452309",
            "country_code": "US",
            "telephone_number": "601-683-3241",
            "fax_number": "601-683-3233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3027 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "MS",
            "postal_code": "393412275",
            "country_code": "US",
            "telephone_number": "662-726-6111",
            "fax_number": "662-726-6110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1054 Airpark Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "MS",
            "postal_code": "393503368",
            "country_code": "US",
            "telephone_number": "601-656-3296",
            "fax_number": "601-656-8164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "JACOB",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2022-04-12",
        "certification_date": "2022-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "PENDING",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09351503",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Haley Hill
• Channa Hudson, MS
• Ashley Nicole Hughes, NP
• Tiaa M Hunt, MS
• Stephen Eugene Hunter, D.O.
• Jasmine Ivy, NP
• Anthony Jones
• Tiffany Jordan, PMHNP
• JRS&J Adult Care Center, Inc
• JRS&J Adult Care Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.