Active NPI
Radhi Daya, OD
- Optometrist
- Southaven, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1080
- Practice address
- 940 Church Rd W Ste C
Southaven, MS 38671-9611 - Phone
- (662) 331-3937
- Fax
- (662) 404-8884
- NPI assigned
- Jul 6, 2023
- Last updated
- Aug 12, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3820 | TN | |
| Optometrist | 152W00000X | 1080 | MS | Primary |
Addresses
Primary practice location
940 Church Rd W Ste C
Southaven, MS 38671-9611
Mailing address
940 Church Rd W Ste C
Southaven, MS 38671-9611
Phone (662) 331-3937
Other practice location 1
4281 American Way
Memphis, TN 38118-2014
Phone (901) 365-0930
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
940 Church Rd W
Suite C
Southaven, MS 38671-9611
Phone (662) 331-3937
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amin Eye Care, PLLC | Optometrist | Current | Accepting new patients |
Locations
940 Church Rd W
Ste C
Southaven, MS 38671
Phone (662) 331-3937
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723420800000",
"number": "1518645019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "940 CHURCH RD W STE C",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719611",
"telephone_number": "662-331-3937",
"fax_number": "662-404-8884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 CHURCH RD W STE C",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386719611",
"telephone_number": "662-331-3937",
"fax_number": "662-404-8884"
}
],
"practiceLocations": [
{
"address_1": "4281 American Way",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381182014",
"country_code": "US",
"telephone_number": "901-365-0930",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAYA",
"first_name": "RADHI",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-06",
"last_updated": "2024-08-12",
"certification_date": "2024-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3820",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "1080",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southaven, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2024; 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.