Organization Active NPI

Eyes2See, P.a.

  • Optometrist
  • New Albany, MS
National Provider Identifier
1639611619
Registry record updated Nov 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
661 Issued in MS
Legal business name
EYES2SEE, P.A.
Doing business as
Dr. Julie C. Brock
Practice address
109 State Highway 15 S
New Albany, MS 38652-5206
Phone
(662) 534-9288
Fax
(662) 534-8341
NPI assigned
Nov 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2016

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

Authorized official

Name
Dr. Julie C. Brock, O.D.NPI 1720053952
Title
Owner/ President
Phone
(662) 316-3761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 661 MS Primary

Addresses

Primary practice location

109 State Highway 15 S
New Albany, MS 38652-5206

Mailing address

PO Box 510
New Albany, MS 38652-0510
Phone (662) 534-9288

Other identifiers 1

IdentifierTypeStateIssuer
00737224MedicaidMS

Other names 1

  • Dr. Julie C. Brock Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170105001562 MS Part B Supplier - Clinic/Group Practice 3870874845 Receives reassigned benefits from 1 practitioner
Practice locations: New Albany, MS

National Provider Directory

National Provider Directory

Locations

109 State Highway 15 S
New Albany, MS 38652
Phone (662) 534-9288

109 State Highway 15 S
#C
New Albany, MS 38652
Phone (662) 534-9288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1478563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478563200000",
    "number": "1639611619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386520510",
            "telephone_number": "662-534-9288",
            "fax_number": "662-534-8341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 STATE HIGHWAY 15 S",
            "city": "NEW ALBANY",
            "state": "MS",
            "postal_code": "386525206",
            "telephone_number": "662-534-9288",
            "fax_number": "662-534-8341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES2SEE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-08",
        "last_updated": "2016-11-08",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "662-316-3761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00737224",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dr. Julie C. Brock",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Albany, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.