Columbus Optical Dispensary

Primary specialty

Ophthalmic Technician/TechnologistTaxonomy code 156FX1100X

Legal business name

COLUMBUS OPTICAL DISPENSARY

Practice address

1928 5TH St N
Columbus, MS 39705

Phone

(662) 328-5781

Fax

(662) 328-7281

NPI assigned

Jul 22, 2006

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Jarod Lee

Title

Owner

Phone

(662) 328-5781

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1578584686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "397052206",
            "telephone_number": "662-328-5781",
            "fax_number": "662-328-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 5TH ST N",
            "city": "COLUMBUS",
            "state": "MS",
            "postal_code": "39705",
            "telephone_number": "662-328-5781",
            "fax_number": "662-328-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBUS OPTICAL DISPENSARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAROD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-328-5781"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1100X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Ophthalmic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00089020",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Columbus Jones Enterprises, Inc. (ComForcare Senior Services)
• Columbus Lung Physicians PLLC
• Columbus Neurosurgical Associates, PLLC
• Columbus OBGYN Specialty Center PLLC
• Columbus Occupational Medicine, PLLC
• Columbus Orthopedic Outpatient
• Columbus Pulmonary Clinic
• Columbus Smile PLLC (Ascent Dental)
• Columbus Surgery Associates
• Columbus Surgical Center PLLC

• Ophthalmic Technician/Technologist in Columbus, MS
• Providers in Columbus, MS by specialty
• Ophthalmic Technician/Technologist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.