Organization Active NPI

Dearlens, Inc. II

Doing business as Dearman's McCormack Optical

  • Optician
  • Meridian, MS
National Provider Identifier
1578638797
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
DEARLENS, INC. II
Doing business as
Dearman's McCormack Optical
Practice address
910 23Rd Ave
Meridian, MS 39301-5017
Phone
(601) 693-1841
Fax
(601) 693-1847
NPI assigned
Nov 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Phillip Rocky Dearman, OPTICIAN
Title
Owner
Phone
(601) 693-1841

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X MS Primary

Addresses

Primary practice location

910 23Rd Ave
Meridian, MS 39301-5017

Mailing address

910 23Rd Ave
Meridian, MS 39301-5017
Phone (601) 693-1841

Other identifiers 1

IdentifierTypeStateIssuer
00880055MedicaidMS

Other names 1

  • Dearman's McCormack Optical Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578638797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015017",
            "telephone_number": "601-693-1841",
            "fax_number": "601-693-1847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 23RD AVE",
            "city": "MERIDIAN",
            "state": "MS",
            "postal_code": "393015017",
            "telephone_number": "601-693-1841",
            "fax_number": "601-693-1847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEARLENS, INC. II",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DEARMAN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "ROCKY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-693-1841",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00880055",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dearman's McCormack Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Meridian, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.