NPIMap

Organization Active NPI

Setzer Vision LLC

Doing business as Setzer Vision Clinic

  • Optometrist
  • Ridgeland, MS
National Provider Identifier
1578713137
Registry record updated Apr 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
784 Issued in MS
Legal business name
SETZER VISION LLC
Doing business as
Setzer Vision Clinic
Practice address
815 S Wheatley St
Ridgeland, MS 39157-5002
Phone
(601) 991-1116
NPI assigned
Sep 19, 2008
Last updated
Apr 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2016

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

Authorized official

Name
Dr. John Joseph Setzer Jr., ODNPI 1528259785
Title
President
Phone
(601) 991-1116

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 784 MS Primary

Addresses

Primary practice location

815 S Wheatley St
Ridgeland, MS 39157-5002

Mailing address

127 Katherine Pointe Dr
Madison, MS 39110-7909
Phone (901) 864-7075

Other names 1

  • Setzer Vision Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

815 S Wheatley St
Ridgeland, MS 39157
Phone (601) 956-1466

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460073600000",
    "number": "1578713137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 KATHERINE POINTE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391107909",
            "telephone_number": "901-864-7075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S WHEATLEY ST",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575002",
            "telephone_number": "601-991-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SETZER VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2016-04-08",
        "status": "A",
        "authorized_official_last_name": "SETZER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "601-991-1116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Setzer Vision Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.