Individual provider Active NPI

Sean Phillip Aldinger, OD

  • Optometrist
  • Olive Branch, MS
National Provider Identifier
1659330231
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
681 Issued in MS
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

Updated by the provider on Sep 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7018 #1OtherMSDAVIS VISION
AL1564575OtherMSCALRITY 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040504000760 MS Practitioner - Optometry 9739177270 Reassigns benefits to 2 organizations

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
Olive Branch Eyecare, PLLCGroup PAC ID 4981797297, 5 clinicians

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 100Reported as individual
Quality
24.13
Promoting interoperability
76
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery194

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
681MSMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Olive Branch Eyecare, PLLC Optometrist CurrentSince Jan 1, 2003 Accepting new patients
Desoto Family Vision PLLC Optometrist CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.