Active NPI
Marc Allen Richardson, M.D.
- Ophthalmology Physician
- Flowood, MS
National Provider Identifier
1629418066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- T-2704
- Practice address
- 1053 River Oaks Dr
Flowood, MS 39232 - Phone
- (601) 969-1430
- Fax
- (601) 709-2117
- NPI assigned
- Jun 30, 2013
- Last updated
- Jun 19, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | T-2704 | MS | Primary |
Addresses
Primary practice location
1053 River Oaks Dr
Flowood, MS 39232
Mailing address
1053 River Oaks Dr
Flowood, MS 39232-9595
Phone (601) 969-1430
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Louisiana State University School of Medicine in Shreveport, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1053 River Oaks Dr
Flowood, MS 39232-9595
Phone (601) 969-1430
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.05 of 100
- Quality
- 97.29
- Improvement activities
- 40
- Cost
- 77.12
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 921 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T-2704 | MS | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mississippi Vision Correction Center, PLLC | Ophthalmology | Current | Accepting new patients |
Locations
1053 River Oaks Dr
Flowood, MS 39232
Phone (601) 969-1430
Interoperability endpoints
- mar@msvision.emadirect.md
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372550400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529366400000",
"number": "1629418066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1053 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "392329595",
"telephone_number": "601-969-1430",
"fax_number": "601-709-2117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1053 RIVER OAKS DR",
"city": "FLOWOOD",
"state": "MS",
"postal_code": "39232",
"telephone_number": "601-969-1430",
"fax_number": "601-709-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDSON",
"first_name": "MARC",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-30",
"last_updated": "2018-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MS",
"license": "T-2704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flowood, MS
- Rebekah Celeste Reynolds, NP-C
- George Jeffrey Rhoden
- Nicole Rhoden, CRNA
- David D Richardson, MD
- Kristen Richardson, P.A.-C
- William Tobias Riley, LPC-S
- Sara W. Rippel, MD
- River Bend Medical Clinic, Inc (River Bend Medical Clinic)
- River Oaks Hospital LLC (River Oaks Hospital)
- River Oaks Hospital LLC (Merit Health River Oaks)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.