Charles Edwin McMasters, OPTOMETRIST

Primary specialty

OptometristTaxonomy code 152W00000X

License

530 Issued in MS

Practice address

120 Promenade Blvd
Flowood, MS 39232-8017

Phone

(601) 992-1010

Fax

(601) 992-7700

NPI assigned

Jul 18, 2006

Last updated

Sep 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: direct@dogwoodvisioncareflowoodms.compulinkdirect.com

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.

• Charles E McMasters Inc

  • Optometrist
  • Flowood, MS
  • NPI 1407118474
  NPD (past)
• Southern Eye Care of Flowood, PA

  • Optometrist
  • Flowood, MS
  • NPI 1649824434
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473638400000",
    "number": "1548289010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 PROMENADE BLVD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328017",
            "telephone_number": "601-992-1010",
            "fax_number": "601-992-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 PROMENADE BLVD",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392328017",
            "telephone_number": "601-992-1010",
            "fax_number": "601-992-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMASTERS",
        "first_name": "CHARLES",
        "middle_name": "EDWIN",
        "name_prefix": "Dr.",
        "credential": "OPTOMETRIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2016-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "530",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "LA",
            "license": "997",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "3504",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "410048020",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "08277878",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "5539",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NISSAN, BCBS OF TENN.",
            "identifier": "640935907A",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• April Hammons McKinley, LCSW
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• Nina E. McLain, CRNA
• Christopher Gregory McLaurin, PHARMD
• Zachary Michael McManus
• McNamed Inc
• McNamed Pharmacy LLC
• MDB Care Management LLC
• Mea Primary Care Plus LLC
• Mea Primary Care Plus LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2016; 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.