Organization Active NPI

Heather M. Dowdy, O.D.

  • Optometrist
  • Southaven, MS
National Provider Identifier
1669669156
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
694 Issued in MS
Legal business name
HEATHER M. DOWDY, O.D.
Practice address
6811 Southcrest Pkwy
Southaven, MS 38671-9538
Phone
(662) 349-1920
Fax
(662) 349-1995
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Dr. Heather M. Dowdy, O.D.NPI 1023079068
Title
Optometrist
Phone
(662) 349-1920

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 694 MS Primary

Addresses

Primary practice location

6811 Southcrest Pkwy
Southaven, MS 38671-9538

Mailing address

6811 Southcrest Pkwy
Southaven, MS 38671-9538
Phone (662) 349-1920

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080225000031 MS Part B Supplier - Clinic/Group Practice 0648354035 Receives reassigned benefits from 1 practitioner
Practice locations: Southaven, MS

National Provider Directory

National Provider Directory

Locations

6811 Southcrest Pkwy
Southaven, MS 38671
Phone (662) 349-1920

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1669669156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719538",
            "telephone_number": "662-349-1920",
            "fax_number": "662-349-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6811 SOUTHCREST PKWY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386719538",
            "telephone_number": "662-349-1920",
            "fax_number": "662-349-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER M. DOWDY, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "DOWDY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "662-349-1920",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southaven, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.