Organization Active NPI

Edgewater Eyecare, Inc

  • Optometrist
  • Biloxi, MS
National Provider Identifier
1538351101
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
567 Issued in MS
Legal business name
EDGEWATER EYECARE, INC
Doing business as
Vision Care Center / Dr. Chris K. Rains
Practice address
2318 Pass Rd Ste 1
Biloxi, MS 39531-4044
Phone
(228) 388-1115
Fax
(228) 388-1511
NPI assigned
Aug 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

Name
Dr. Chris K Rains, OD
Title
Optometrist
Phone
(228) 388-1115

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 567 MS Primary

Addresses

Primary practice location

2318 Pass Rd Ste 1
Biloxi, MS 39531-4044

Mailing address

2318 Pass Rd Ste 1
Biloxi, MS 39531-4044
Phone (228) 388-1115

Other identifiers 2

IdentifierTypeStateIssuer
00087012MedicaidMS
426359338AOtherMSBLUE CROSS BLUE SHIELD

Other names 1

  • Vision Care Center / Dr. Chris K. Rains Doing business as

National Provider Directory

National Provider Directory

Locations

2318 Pass Rd
Ste 1
Biloxi, MS 39531
Phone (228) 388-1115

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1538351101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2318 PASS RD STE 1",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314044",
            "telephone_number": "228-388-1115",
            "fax_number": "228-388-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 PASS RD STE 1",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314044",
            "telephone_number": "228-388-1115",
            "fax_number": "228-388-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWATER EYECARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "RAINS",
        "authorized_official_first_name": "CHRIS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "228-388-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00087012",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "426359338A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Care Center / Dr. Chris K. Rains",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.