Individual provider Active NPI

William Boyce Craig, O.D.

  • Optometrist
  • Canton, MS
National Provider Identifier
1659322980
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
442 Issued in MS
Practice address
1185 Hart St
Canton, MS 39046-4805
Phone
(601) 859-3464
Fax
(601) 859-9003
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 442 MS Primary

Addresses

Primary practice location

1185 Hart St
Canton, MS 39046-4805

Mailing address

6704 Old Canton Rd
Ridgeland, MS 39157-1225
Phone (601) 957-9292

Other identifiers 1

IdentifierTypeStateIssuer
00089240MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Optical 2000 of Flora PA Optometrist Past Accepting new patients
Professional Eyecare Associates ,Inc Optometrist Past Accepting new patients
Optical 2000 Optometrist PastSince Jul 12, 2005 Accepting new patients
Dr James C Hamilton PA Optometrist Past Accepting new patients
Canton Vision Clinic, P.a. Optometrist PastSince Jan 1, 1990 Accepting new patients
Medical Mall Vision Clinic Optometrist PastSince May 10, 2006 Accepting new patients
Professional Eyecare Associates of Yazoo City, PA Optometrist Past Accepting new patients

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1659322980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6704 OLD CANTON RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391571225",
            "telephone_number": "601-957-9292",
            "fax_number": "601-957-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1185 HART ST",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390464805",
            "telephone_number": "601-859-3464",
            "fax_number": "601-859-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "WILLIAM",
        "middle_name": "BOYCE",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MS",
            "license": "442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00089240",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.