Katie Elizabeth Richardson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

940 Issued in MS

Practice address

1413 W Main St Ste a
Tupelo, MS 38801-3451

Phone

(662) 205-4654

Fax

(662) 205-4669

NPI assigned

Jul 24, 2016

Last updated

May 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eye Care Associates

  • Optometrist
  • Tupelo, MS
  • NPI 1770901654
  Medicare reassignment NPD
• Total Eye Care of Fulton P.a.

  • Clinic/Center
  • Fulton, MS
  • NPI 1043585953
  Medicare reassignment NPD
• Total Eye Care of Fulton P.a.

  • Optometrist
  • Amory, MS
  • NPI 1508382060
  NPD
• Gracie PLLC

  dba Eye Care Associates

  • Eyewear Supplier
  • Tupelo, MS
  • NPI 1417270943
  NPD (past)

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

{
    "created_epoch": "1469318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1598218752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 W MAIN ST STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013451",
            "telephone_number": "662-205-4654",
            "fax_number": "662-205-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W MAIN ST STE A",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388013451",
            "telephone_number": "662-205-4654",
            "fax_number": "662-205-4669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2005 W Main St",
            "address_purpose": "LOCATION",
            "city": "Tupelo",
            "state": "MS",
            "postal_code": "38801",
            "country_code": "US",
            "telephone_number": "662-205-4654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHARDSON",
        "first_name": "KATIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-24",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Louis Rice, M.D.
• Richard B Warriner DDS PA (Childrens Dental Clinic)
• Katherine Leigh Richards, FNP
• Devan Richardson, DPT
• Katelyn Stalnaker Richardson, AGNP-C
• Laken Hood Richardson, PT
• Miketra A Richardson
• Neidre Necole Richardson
• Sadarian Richardson
• Ariyana Richey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.