Active NPI
Pandya-Lipman Eye Specialist, PLLC
- Pediatric Optometrist
- Southaven, MS
National Provider Identifier
1528261815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Optometrist
- License
- 16645
- Legal business name
- PANDYA-LIPMAN EYE SPECIALIST, PLLC
- Doing business as
- Pandya-Lipman Eye Specialist, PLLC
- Practice address
- 60 Physicians LN
Suite 2
Southaven, MS 38671-6122 - Phone
- (662) 349-3025
- Fax
- (662) 349-0708
- NPI assigned
- Jun 6, 2007
- Last updated
- Jan 10, 2008
- 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
- Mrs. Traci L Cato
- Title
- Office Manager
- Phone
- (662) 349-3025
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Optometrist | 152WP0200X | 16645 | MS | Primary |
Addresses
Primary practice location
60 Physicians LN
Suite 2
Southaven, MS 38671-6122
Mailing address
60 Physicians LN
Suite 1
Southaven, MS 38671-6122
Phone (662) 349-3025
Other names 1
- Pandya-Lipman Eye Specialist, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS, TN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
3964 Goodman Rd E
Ste 125
Southaven, MS 38672
Phone (662) 890-7361
1715 Kirby Pkwy
Ste 101
Memphis, TN 38120
Phone (901) 754-3937
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Southaven, MS
- NPI 1730705716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199923200000",
"number": "1528261815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 PHYSICIANS LN",
"address_2": "SUITE 1",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386716122",
"telephone_number": "662-349-3025",
"fax_number": "662-349-0708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 PHYSICIANS LN",
"address_2": "SUITE 2",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386716122",
"telephone_number": "662-349-3025",
"fax_number": "662-349-0708"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PANDYA-LIPMAN EYE SPECIALIST, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2008-01-10",
"status": "A",
"authorized_official_last_name": "CATO",
"authorized_official_first_name": "TRACI",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "662-349-3025",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": "MS",
"license": "16645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pandya-Lipman Eye Specialist, PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Southaven, MS
- Oxford Outpatient Center, LLC (Oxford Outpatient Center Southaven)
- John C Page, D.D.S., M.S.
- Pain Clinic Associates PLLC
- Pain Treatment Centers of America, PLLC
- Sabrina Palacio, PT, DPT
- Rashmi K Pandya-Lipman, MD
- Glendin Pano, DDS
- Ali Ahmed Paracha, M.D.
- Courtney Phillips Parrish, LCSW
- Pas of Memphis, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; 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.