Individual provider Active NPI

Marc Allen Richardson, M.D.

  • Ophthalmology Physician
  • Flowood, MS
National Provider Identifier
1629418066
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
T-2704 Issued in MS
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170710001371 MS Practitioner - Ophthalmology 9739403460 Reassigns benefits to 1 organization

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
Mississippi Vision Correction Center, PLLCGroup PAC ID 0446298699, 3 clinicians

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 100Reported as group
Quality
97.29
Improvement activities
40
Cost
77.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery921

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
T-2704MSMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mississippi Vision Correction Center, PLLC Ophthalmology CurrentSince Jul 1, 2017 Accepting new patients

Locations

1053 River Oaks Dr
Flowood, MS 39232
Phone (601) 969-1430

Interoperability endpoints

  • Direct secure messaging: 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

Sources for this page

Verify at the official NPI Registry.