Organization Active NPI

Patton Family Optometry, Inc

  • Optometrist
  • Jackson, MS
National Provider Identifier
1679515464
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MS663 Issued in MS
Legal business name
PATTON FAMILY OPTOMETRY, INC
Practice address
120 District Blvd Ste D109
Jackson, MS 39211
Phone
(601) 398-4662
Fax
(601) 398-4669
NPI assigned
Jun 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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

Authorized official

Name
Rebecca Cox Patton, OD
Title
Owner
Phone
(601) 398-4662

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MS663 MS Primary

Addresses

Primary practice location

120 District Blvd Ste D109
Jackson, MS 39211

Mailing address

120 District Blvd Ste D109
Jackson, MS 39211-6382
Phone (601) 398-4662

Other practice location 1

4500 I 55 N
Ste 143
Jackson, MS 39211-5930
Phone (601) 398-4662

Other practice location 2

4500 I 55 N
Ste 143
Jackson, MS 39211
Phone (601) 398-4662

Other practice location 3

4500 I 55 N
Ste 143
Jackson, MS 39211
Phone (601) 398-4662

National Provider Directory

National Provider Directory

Locations

120 District Blvd
Ste D109
Jackson, MS 39211
Phone (601) 398-4662

4500 I 55 N
Ste 143
Jackson, MS 39211
Phone (601) 398-4658

1200 E County Line Rd
Ste 166
Ridgeland, MS 39157
Phone (601) 957-0607

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545091200000",
    "number": "1679515464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 DISTRICT BLVD STE D109",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392116382",
            "telephone_number": "601-398-4662",
            "fax_number": "601-398-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 DISTRICT BLVD STE D109",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "39211",
            "telephone_number": "601-398-4662",
            "fax_number": "601-398-4669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 I 55 N",
            "address_2": "STE 143",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392115930",
            "country_code": "US",
            "telephone_number": "601-398-4662",
            "fax_number": "601-398-4669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 I 55 N",
            "address_2": "STE 143",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39211",
            "country_code": "US",
            "telephone_number": "601-398-4662",
            "fax_number": "601-398-4669",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4500 I 55 N",
            "address_2": "STE 143",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "39211",
            "country_code": "US",
            "telephone_number": "601-398-4662",
            "fax_number": "601-398-4669",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PATTON FAMILY OPTOMETRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2018-12-18",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "COX",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-398-4662",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "MS",
            "license": "MS663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2018; 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.