Active NPI
Heather M. Dowdy, O.D.
- Optometrist
- Southaven, MS
National Provider Identifier
1669669156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 694
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Southaven, MS
- NPI 1023079068
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.