Active NPI
Sean Phillip Aldinger, OD
- Optometrist
- Olive Branch, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 681
- Practice address
- 6947 Crumpler Blvd
Olive Branch, MS 38654-1922 - Phone
- (662) 893-3300
- Fax
- (662) 893-3301
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 681 | MS | Primary |
| Optometrist | 152W00000X | 2481 | TN |
Addresses
Primary practice location
6947 Crumpler Blvd
Olive Branch, MS 38654-1922
Mailing address
6947 Crumpler Blvd
Olive Branch, MS 38654-1922
Phone (662) 893-3300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7018 #1 | Other | MS | DAVIS VISION |
| AL1564575 | Other | MS | CALRITY VISION |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6947 Crumpler Blvd
Suite 100
Olive Branch, MS 38654-1922
Phone (662) 893-3300
Merit-based Incentive Payment System (MIPS)
- Final score
- 51.07 of 100
- Quality
- 24.13
- Promoting interoperability
- 76
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 194 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 681 | MS | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Olive Branch Eyecare, PLLC | Optometrist | Current | Accepting new patients |
| Desoto Family Vision PLLC | Optometrist | Current | Accepting new patients |
Locations
6947 Crumpler Blvd
#100
Olive Branch, MS 38654
Phone (662) 893-3300
6947 Crumpler Blvd
Olive Branch, MS 38654
Phone (662) 893-3300
1228 Goodman Rd E
#1
Southaven, MS 38671
Phone (662) 349-8838
Organizations & group practices 2
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.
-
- Optometrist
- Olive Branch, MS
- NPI 1003019878
-
- Optometrist
- Southaven, MS
- NPI 1679348924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316995200000",
"number": "1659330231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6947 CRUMPLER BLVD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541922",
"telephone_number": "662-893-3300",
"fax_number": "662-893-3301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6947 CRUMPLER BLVD",
"city": "OLIVE BRANCH",
"state": "MS",
"postal_code": "386541922",
"telephone_number": "662-893-3300",
"fax_number": "662-893-3301"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALDINGER",
"first_name": "SEAN",
"middle_name": "PHILLIP",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2011-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MS",
"license": "681",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "2481",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAVIS VISION",
"identifier": "7018 #1",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALRITY VISION",
"identifier": "AL1564575",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Olive Branch, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2011; 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.